Active NPI
Zachery P. Klemmer, DPT
- Physical Therapist
- Spokane, WA
National Provider Identifier
1770101933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT61026933
- Practice address
- 407 E 2ND Ave Ste 100
Spokane, WA 99202-1428 - Phone
- (509) 455-6002
- NPI assigned
- Jul 13, 2020
- 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 | PT61026933 | WA | Primary |
Addresses
Primary practice location
407 E 2ND Ave Ste 100
Spokane, WA 99202-1428
Mailing address
9911 N Nevada St
Ste a
Spokane, WA 99218-1298
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 |
|---|---|---|---|
| Summit Rehab Valley Corporation | Physical Therapist | Past | Accepting new patients |
| Therapeutic Associates Inc | 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.
-
- Physical Therapist
- Spokane Valley, WA
- NPI 1932243425
-
- Physical Therapist
- Bothell, WA
- NPI 1114376563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596412800000",
"number": "1770101933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9911 N NEVADA ST",
"address_2": "STE A",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992181298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 E 2ND AVE STE 100",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992021428",
"telephone_number": "509-455-6002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEMMER",
"first_name": "ZACHERY",
"middle_name": "P.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-13",
"last_updated": "2020-08-03",
"certification_date": "2020-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT61026933",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.