Individual provider Active NPI

Richard P Klein, P.T.

  • Physical Therapist
  • Baldwinsville, NY
National Provider Identifier
1790746253
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
017224 Issued in NY
Practice address
8276 Willett Pkwy
Suite 100
Baldwinsville, NY 13027-1316
Phone
(315) 635-0400
Fax
(315) 635-0410
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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 017224 NY Primary

Addresses

Primary practice location

8276 Willett Pkwy
Suite 100
Baldwinsville, NY 13027-1316

Mailing address

231 Walton St
Suite 200
Syracuse, NY 13202-1230
Phone (315) 478-0380

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040312001030 NY Practitioner - Physical Therapist in Private Practice 3375432719 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Syracuse Orthopedic Specialists, PLLCGroup PAC ID 6406760073, 115 clinicians

Practice addresses (Care Compare)

5719 Widewaters Pkwy
Syracuse, NY 13214-1985
Phone (315) 251-3100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
017224NYMDClinical Neuropsychologist
0172241NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Syracuse Orthopedic Specialists, PC CurrentSince Jun 2, 2014 Accepting new patients
Syracuse Orthopedic Specialists, PLLC CurrentSince Jun 2, 2014 Accepting new patients
Syracuse Orthopedic Specialists, PLLC Past Accepting new patients

Locations

8276 Willett Pkwy
Baldwinsville, NY 13027
Phone (315) 635-0400

8276 Willett Pkwy
Ste 100
Baldwinsville, NY 13027
Phone (315) 635-0400

8324 Oswego Rd
Ste A
Liverpool, NY 13090
Phone (315) 418-4128

1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488

4994 W Seneca Tpke
Syracuse, NY 13215
Phone (315) 469-5400

5719 Widewaters Pkwy
Syracuse, NY 13214
Phone (315) 251-3110

Interoperability endpoints

  • Direct secure messaging: rklein@sosbones.medentdirect.com

Organizations & group practices 3

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208217600000",
    "number": "1790746253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 WALTON ST",
            "address_2": "SUITE 200",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132021230",
            "telephone_number": "315-478-0380",
            "fax_number": "315-478-0388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8276 WILLETT PKWY",
            "address_2": "SUITE 100",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130271316",
            "telephone_number": "315-635-0400",
            "fax_number": "315-635-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "RICHARD",
        "middle_name": "P",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2008-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "017224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwinsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.