Robert Klein, PT
Individual provider Active NPI Specialist · Stone Ridge, NY
NPI 1669444568 · NPPES record last updated May 1, 2008
Key facts
- NPI
- 1669444568
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 017511-1 (NY)
- Practice address
- 3555 Main St
Stone Ridge, NY 12484-5612 - Phone
- (845) 687-8806
- Fax
- (845) 687-8727
- NPI assigned
- Feb 3, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Stone Ridge Physical Therapy, PC
Practice addresses (Care Compare)
3555 Main St
Stone Ridge, NY 12484-5612
Phone (845) 687-8806
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110310000011 | NY | Practitioner - Physical Therapist in Private Practice | 4789866922 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017511-1 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stone Ridge Physical Therapy, PC | Specialist | Current |
Accepting new patients |
Locations
3165 Route 9W
Saugerties, NY 12477
Phone (845) 246-7848
3555 Main St
Stone Ridge, NY 12484
Phone (845) 687-8806
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 017511-1 | NY | Yes |
Addresses
Primary practice location
3555 Main St
Stone Ridge, NY 12484-5612
Mailing address
PO Box 266
Stone Ridge, NY 12484-0266
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02242726 | Medicaid | NY |
Other providers in Stone Ridge, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.