Individual provider Active NPI

Jason H Klein, PT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1700958147
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
022325 Issued in NY
Practice address
159 E 74TH St
Ste 3
New York, NY 10021-3235
Phone
(212) 838-8023
Fax
(212) 838-8027
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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 022325 NY Primary

Addresses

Primary practice location

159 E 74TH St
Ste 3
New York, NY 10021-3235

Mailing address

159 E 74TH St
Ste 3
New York, NY 10021-3235
Phone (917) 774-4600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211214002812 NJ Practitioner - Physical Therapist in Private Practice 6204890163 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Churchill Orthopedic Rehabilitation, LLCGroup PAC ID 5092812180, 4 clinicians
Ivyrehab Network IncGroup PAC ID 3476539776, 658 clinicians

Practice addresses (Care Compare)

1086 Teaneck Rd
Suite 3E
Teaneck, NJ 07666-4855
Phone (201) 833-1333

695 Anderson Ave
Cliffside Park, NJ 07010
Phone (201) 402-5002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Network Inc. Physical Therapist CurrentSince May 22, 2023 Accepting new patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince May 22, 2023 Accepting new patients
Balance and Concussion Therapy Center, LLC Physical Therapist CurrentSince Jan 11, 2023 Accepting new patients
Churchill Orthopedic Rehabilitation, LLC Physical Therapist CurrentSince Jan 11, 2023 Accepting new patients
Babiec & Roth Physical Therapy PLLC Physical Therapist CurrentSince Apr 1, 2021 Accepting new patients

Locations

701 E Palisade Ave
Englewood Cliffs, NJ 07632
Phone (201) 816-8925

731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780

1555 Center Ave
Fort Lee, NJ 07024
Phone (201) 510-0200

454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905

915 Route 517
Ste 24
Hackettstown, NJ 07840
Phone (908) 684-1241

1086 Teaneck Rd
Ste 3E
Teaneck, NJ 07666
Phone (201) 575-6291

159 E 74th St
Ste 3
New York, NY 10021
Phone (212) 838-8023

Organizations & group practices 5

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1700958147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 E 74TH ST",
            "address_2": "STE 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213235",
            "telephone_number": "917-774-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 E 74TH ST",
            "address_2": "STE 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213235",
            "telephone_number": "212-838-8023",
            "fax_number": "212-838-8027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "JASON",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "022325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.