Individual provider Active NPI

Carrie Klementowicz, PT, DPT

  • Physical Therapist
  • Rochester, NH
National Provider Identifier
1720525298
Registry record updated Dec 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4575 Issued in NH
Practice address
36 Industrial Way Ste 1
Rochester, NH 03867-4291
Phone
(603) 335-4700
Fax
(603) 335-4704
NPI assigned
Jan 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2019

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 4575 NH Primary

Addresses

Primary practice location

36 Industrial Way Ste 1
Rochester, NH 03867-4291

Mailing address

36 Industrial Way Ste 1
Rochester, NH 03867-4291
Phone (603) 335-4700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191015003030 NH Practitioner - Physical Therapist in Private Practice 1850674292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability, LLCGroup PAC ID 4789084104, 15 clinicians

Practice addresses (Care Compare)

1 Bayside Rd
Greenland, NH 03840-2117
Phone (603) 770-0408

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4575NHMDPhysical Therapist

Organizations & group practices 1

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": "1485129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1720525298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 INDUSTRIAL WAY STE 1",
            "city": "ROCHESTER",
            "state": "NH",
            "postal_code": "038674291",
            "telephone_number": "603-335-4700",
            "fax_number": "603-335-4704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 INDUSTRIAL WAY STE 1",
            "city": "ROCHESTER",
            "state": "NH",
            "postal_code": "038674291",
            "telephone_number": "603-335-4700",
            "fax_number": "603-335-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEMENTOWICZ",
        "first_name": "CARRIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-23",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "4575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.