Active NPI
Barry J Klonsky, RPT
- Physical Therapist
- Laguna Hills, CA
National Provider Identifier
1700975661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5025
- Practice address
- 23232 Peralta Dr Ste 113
Laguna Hills, CA 92653-1436 - Phone
- (949) 922-2776
- NPI assigned
- Oct 11, 2006
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5025 | CA | Primary |
Addresses
Primary practice location
23232 Peralta Dr Ste 113
Laguna Hills, CA 92653-1436
Mailing address
24482 Moonfire Dr
Dana Point, CA 92629-1766
Phone (949) 285-5663
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Therapeutic Services Inc | Physical Therapist | Past | Accepting new patients |
| Dynamic Rehab | Physical Therapist | Past | Accepting new patients |
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.
-
- Rehabilitation Practitioner
- Laguna Hills, CA
- NPI 1962497214
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700975661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24482 MOONFIRE DR",
"city": "DANA POINT",
"state": "CA",
"postal_code": "926291766",
"telephone_number": "949-285-5663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23232 PERALTA DR STE 113",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926531436",
"telephone_number": "949-922-2776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLONSKY",
"first_name": "BARRY",
"middle_name": "J",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "5025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laguna Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.