NPIMap

Organization Active NPI

Jodi a Llacera Klein

Doing business as Cape ann Orthopedic & Sports Physical Therapy Center

  • Orthopedic Physical Therapist
  • Manchester, MA
National Provider Identifier
1740310242
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
19 Issued in MA
Legal business name
JODI A LLACERA KLEIN
Doing business as
Cape ann Orthopedic & Sports Physical Therapy Center
Practice address
40 Beach St
Suite 101
Manchester, MA 01944-1468
Phone
(978) 526-8288
Fax
(978) 526-7084
NPI assigned
Mar 6, 2007
Last updated
Jun 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kimberly Harding
Title
Office Manager
Phone
(978) 526-8288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 19 MA Primary

Addresses

Primary practice location

40 Beach St
Suite 101
Manchester, MA 01944-1468

Mailing address

40 Beach St
Suite 101
Manchester, MA 01944-1468
Phone (978) 526-8288

Other names 1

  • Cape ann Orthopedic & Sports Physical Therapy Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080321000223 MA Part B Supplier - Clinic/Group Practice 4486730140 Receives reassigned benefits from 4 practitioners
Practice locations: Manchester, MA

National Provider Directory

National Provider Directory

Locations

40 Beach St
Ste 101
Manchester by the Sea, MA 01944
Phone (978) 526-8288

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1740310242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BEACH ST",
            "address_2": "SUITE 101",
            "city": "MANCHESTER",
            "state": "MA",
            "postal_code": "019441468",
            "telephone_number": "978-526-8288",
            "fax_number": "978-526-7084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BEACH ST",
            "address_2": "SUITE 101",
            "city": "MANCHESTER",
            "state": "MA",
            "postal_code": "019441468",
            "telephone_number": "978-526-8288",
            "fax_number": "978-526-7084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JODI A LLACERA KLEIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "HARDING",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "978-526-8288"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MA",
            "license": "19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cape ann Orthopedic & Sports Physical Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manchester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.

Verify at the official NPI Registry.