Active NPI
Kristen M Klingen, M.P.T.
- Physical Therapist
- Havertown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT008457L
- 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, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2331048000 | Other | PA | KEYSTONE PIN |
| 5620457 | Other | PA | AETNA TRADITIONAL PROV. # |
| 2331048000 | Other | PA | PERSONAL CHOICE PROVIDER# |
| 1170988 | Other | PA | AETNA HMO PROVIDER # |
| 1654463 | Other | BC/BS PIN |
Other names 1
- Kristen M Keener
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Therapy Solutions, LLC | Physical Therapist | Current | Accepting new patients |
| Elite Therapy Solutions, LLC | Physical Therapist | Current | Accepting new patients |
| Pain Relief and Physical Therapy, Inc. | Physical Therapist | Past | 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.
-
- Physical Therapist
- West Chester, PA
- NPI 1598346314
-
dba PRO Physical Therapy
- Physical Therapist
- Winchester, VA
- NPI 1225833726
-
- Physical Therapist
- Havertown, PA
- NPI 1649234923
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.