Thomas Klusmann

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A833 Issued in MN

Practice address

5525 Cedar Lake Rd S
St Louis Park, MN 55416-1420

Phone

(952) 541-7171

NPI assigned

May 19, 2015

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Life Clinic Medical, PA

  • Internal Medicine Physician
  • St Louis Park, MN
  • NPI 1942546692
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431993600000",
    "number": "1669851986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2902 CORPORATE PL",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553174560",
            "telephone_number": "952-229-7558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 CEDAR LAKE RD S",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161420",
            "telephone_number": "952-541-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUSMANN",
        "first_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-19",
        "last_updated": "2015-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MN",
            "license": "A833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coryann Debronsky Kleinhaus, CRNA
• Teresa Kleinschmidt, M.S., L.M.F.T.
• Nia Kline
• Melissa J Klohn, R.D.
• Kathleen Grace Klosterman, PT, DPT
• Lindsey Marie Knapp, CRNA
• Benjamin Jed Knick, CRNA
• Knighton Clinic for Reparative Med., P.a
• David Reed Knighton, M.D.
• Knollwood Dentistry, PC

• All providers in St Louis Park, MN
• Physical Therapy Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.