Active NPI
Robert Klare, PT, CHT
- Physical Therapist
- Port Jefferson, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 027058
- Practice address
- 70 N Country Rd
Suite 103
Port Jefferson, NY 11777-2161 - Phone
- (631) 331-3608
- Fax
- (631) 331-2392
- NPI assigned
- Jan 18, 2006
- 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 | 027058 | NY | Primary |
Addresses
Primary practice location
70 N Country Rd
Suite 103
Port Jefferson, NY 11777-2161
Mailing address
70 N Country Rd
Suite 103
Port Jefferson, NY 11777-2161
Phone (631) 331-3608
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7236714 | Other | NY | AETNA |
| Q32K0 | Other | NY | EMPIRE BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Boston University School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1733 N Ocean Ave
Suite a
Medford, NY 11763-2606
Phone (631) 207-3600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Occupational & Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
| Professional Occupational & Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
| Professional Occupational & Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
Locations
123 Grove Ave
Cedarhurst, NY 11516
Phone (516) 374-4248
90 Northern Blvd
Greenvale, NY 11548
Phone (516) 626-5080
1733 N Ocean Ave
Ste A
Medford, NY 11763
Phone (631) 207-3600
576 Broadhollow Rd
Melville, NY 11747
16 E 52nd St
Fl 6
New York, NY 10022
Phone (212) 752-2400
5380 Nesconset Hwy
Port Jefferson Station, NY 11776
Phone (631) 474-4096
70 N Country Rd
Ste 103
Prt Jefferson, NY 11777
Phone (631) 331-3608
33 Flying Point Rd
Ste 250
Southampton, NY 11968
Phone (631) 268-2901
2142 Utopia Pkwy
Whitestone, NY 11357
Phone (718) 767-0610
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.
-
- Occupational Therapist
- Rockville Centre, NY
- NPI 1205296902
Physical Therapist
-
- Occupational Therapist
- Cedarhurst, NY
- NPI 1336509041
Physical Therapist
-
- Occupational Therapist
- Randolph, NJ
- NPI 1104376680
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467072000000",
"number": "1790765675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 N COUNTRY RD",
"address_2": "SUITE 103",
"city": "PORT JEFFERSON",
"state": "NY",
"postal_code": "117772161",
"telephone_number": "631-331-3608",
"fax_number": "631-331-2392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 N COUNTRY RD",
"address_2": "SUITE 103",
"city": "PORT JEFFERSON",
"state": "NY",
"postal_code": "117772161",
"telephone_number": "631-331-3608",
"fax_number": "631-331-2392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLARE",
"first_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "PT, CHT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-18",
"last_updated": "2016-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "027058",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7236714",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BLUE CROSS",
"identifier": "Q32K0",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Jefferson, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; 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.