Individual provider Active NPI

Kristen M Klingen, M.P.T.

  • Physical Therapist
  • Havertown, PA
National Provider Identifier
1679507735
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT008457L Issued in PA
Practice address
57 W Eagle Rd
Havertown, PA 19083-2234
Phone
(610) 789-9887
Fax
(610) 789-9883
NPI assigned
Jul 11, 2006
Last updated
Feb 27, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT008457L PA Primary

Addresses

Primary practice location

57 W Eagle Rd
Havertown, PA 19083-2234

Mailing address

146 Columbus Ave
Havertown, PA 19083-3313
Phone (610) 789-0114

Other identifiers 5

IdentifierTypeStateIssuer
2331048000OtherPAKEYSTONE PIN
5620457OtherPAAETNA TRADITIONAL PROV. #
2331048000OtherPAPERSONAL CHOICE PROVIDER#
1170988OtherPAAETNA HMO PROVIDER #
1654463OtherBC/BS PIN

Other names 1

  • Kristen M Keener Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041112000796 PA Practitioner - Physical Therapist in Private Practice 3577527290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Therapy Solutions, LLCGroup PAC ID 8921383688, 37 clinicians

Practice addresses (Care Compare)

790 E Market St
Suite 290
West Chester, PA 19382-4891
Phone (610) 696-3305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Therapy Solutions, LLC Physical Therapist CurrentSince May 8, 2023 Accepting new patients
Elite Therapy Solutions, LLC Physical Therapist CurrentSince May 8, 2023 Accepting new patients
Pain Relief and Physical Therapy, Inc. Physical Therapist PastSince Apr 1, 1997 Accepting new patients

Locations

245 E Chestnut St
Coatesville, PA 19320
Phone (610) 383-0825

983A E Lancaster Ave
Downingtown, PA 19335
Phone (610) 594-2060

438 Lincoln Way E
New Oxford, PA 17350
Phone (717) 479-5216

790 E Market St
Ste 290
West Chester, PA 19382
Phone (610) 696-3305

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204070400000",
    "number": "1679507735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 COLUMBUS AVE",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190833313",
            "telephone_number": "610-789-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 W EAGLE RD",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190832234",
            "telephone_number": "610-789-9887",
            "fax_number": "610-789-9883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINGEN",
        "first_name": "KRISTEN",
        "middle_name": "M",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2008-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT008457L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE PIN",
            "identifier": "2331048000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA TRADITIONAL PROV. #",
            "identifier": "5620457",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE PROVIDER#",
            "identifier": "2331048000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO PROVIDER #",
            "identifier": "1170988",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PIN",
            "identifier": "1654463",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "KEENER",
            "middle_name": "M",
            "credential": "M.P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Havertown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.