Individual provider Active NPI

Andrew Harris Klein

  • Physical Therapist
  • Aurora, CO
National Provider Identifier
1669870424
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0016601 Issued in CO
Practice address
12510 E Iliff Ave Ste 210
Aurora, CO 80014-6377
Phone
(303) 862-8853
NPI assigned
Dec 10, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070.021095 IL
Physical Therapist 225100000X PTL.0016601 CO Primary

Addresses

Primary practice location

12510 E Iliff Ave Ste 210
Aurora, CO 80014-6377

Mailing address

12510 E Iliff Ave Ste 210
Aurora, CO 80014-6377
Phone (303) 862-8853

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200326002090 CO Practitioner - Physical Therapist in Private Practice 5395069157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J Medical IncGroup PAC ID 7315196540, 7 clinicians

Practice addresses (Care Compare)

9101 Pearl St
Suite 350
Thornton, CO 80229-4390
Phone (720) 328-1246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.021095ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
J Medical Inc Physical Therapist CurrentSince Mar 10, 2020 Accepting new patients
J Medical Inc CurrentSince Mar 10, 2020 Accepting new patients

Locations

12500 E Iliff Ave
Ste 320
Aurora, CO 80014
Phone (303) 862-8853

12510 E Iliff Ave
Ste 210
Denver, CO 80014
Phone (303) 695-1977

9101 Pearl St
Ste 350
Thornton, CO 80229
Phone (720) 328-1246

4350 Wadsworth Blvd
Ste 425
Wheat Ridge, CO 80033
Phone (303) 238-6575

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1669870424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12510 E ILIFF AVE STE 210",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800146377",
            "telephone_number": "303-862-8853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12510 E ILIFF AVE STE 210",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800146377",
            "telephone_number": "303-862-8853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "ANDREW",
        "middle_name": "HARRIS",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-10",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.021095",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0016601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.