Individual provider Active NPI

Albert J Klimczak, DPT

  • Physical Therapist
  • Bonita Springs, FL
National Provider Identifier
1740062546
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
3461 Bonita Bay Blvd Ste 101
Bonita Springs, FL 34134-4374
Phone
(239) 676-2080
NPI assigned
Oct 17, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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 Primary

Addresses

Primary practice location

3461 Bonita Bay Blvd Ste 101
Bonita Springs, FL 34134-4374

Mailing address

3785 Fieldstone Blvd Apt 207
Naples, FL 34109-0733
Phone (239) 919-2533

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231213003253 FL Practitioner - Physical Therapist in Private Practice 8921457136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dah Therapies LLCGroup PAC ID 5395078968, 25 clinicians

Practice addresses (Care Compare)

8417 Sierra Meadows Blvd
Naples, FL 34113-7369
Phone (239) 676-2080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dah Therapies LLC CurrentSince Nov 14, 2023 Accepting new patients

Locations

3461 Bonita Bay Blvd
Ste 101
Bonita Springs, FL 34134
Phone (239) 398-6214

4800 Aston Gardens Way
Naples, FL 34109
Phone (239) 300-1301

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": "1697500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1740062546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3785 FIELDSTONE BLVD APT 207",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341090733",
            "telephone_number": "239-919-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3461 BONITA BAY BLVD STE 101",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341344374",
            "telephone_number": "239-676-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLIMCZAK",
        "first_name": "ALBERT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.