Active NPI
Leonid Klichinsky, DPT
- Orthopedic Physical Therapist
- Huntingdon Valley, PA
National Provider Identifier
1689928152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT021213
- Practice address
- 3876 Shelley Rd
Huntingdon Valley, PA 19006-2343 - Phone
- (267) 647-9097
- Fax
- (215) 914-9073
- NPI assigned
- Nov 5, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT021213 | PA | Primary |
Addresses
Primary practice location
3876 Shelley Rd
Huntingdon Valley, PA 19006-2343
Mailing address
3876 Shelley Rd
Huntingdon Valley, PA 19006-2343
Phone (267) 249-0877
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1234 | Other | PA | 1234 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT021213 | PA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LK Fitness & Therapy | Orthopedic | Current | Accepting new patients |
| PMR Medical and Diagnostic, PC | Past | Accepting new patients | |
| Ati Holdings, LLC | Orthopedic | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Huntingdon Valley, PA
- NPI 1811167224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548633600000",
"number": "1689928152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3876 SHELLEY RD",
"city": "HUNTINGDON VALLEY",
"state": "PA",
"postal_code": "190062343",
"telephone_number": "267-249-0877",
"fax_number": "215-914-9073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3876 SHELLEY RD",
"city": "HUNTINGDON VALLEY",
"state": "PA",
"postal_code": "190062343",
"telephone_number": "267-647-9097",
"fax_number": "215-914-9073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLICHINSKY",
"first_name": "LEONID",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-11-05",
"last_updated": "2019-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "PA",
"license": "PT021213",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1234",
"identifier": "1234",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Huntingdon Valley, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.