Sierra Rose Klotz, DPT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1311 Barre-Montpelier Road
Berlin, VT 05602

Phone

(802) 371-4242

NPI assigned

Apr 24, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1801450911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 212",
            "city": "HARDWICK",
            "state": "VT",
            "postal_code": "058430212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 BARRE-MONTPELIER ROAD",
            "city": "BERLIN",
            "state": "VT",
            "postal_code": "05602",
            "telephone_number": "802-371-4242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Corporate Dr",
            "address_purpose": "LOCATION",
            "city": "Essex Junction",
            "state": "VT",
            "postal_code": "054524434",
            "country_code": "US",
            "telephone_number": "802-871-5423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLOTZ",
        "first_name": "SIERRA",
        "middle_name": "ROSE",
        "credential": "DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-24",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCER PROLIABILITY INSURANCE",
            "identifier": "1374927",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Camden S. Kelley, BA
• Nancy Kenyon Richardson, LCMHC
• Arif Ullah Khan, MD
• Jane Barrett Kimberley, RN
• Kristen Kivlen, PA-C
• Justin R. Knapp, M.D.
• Lorie Ann Knapp
• Gundy Knos, M.D.
• Roger H Knowlton, DO
• Day Kokarev, MSW

• Physical Therapist in Berlin, VT
• Providers in Berlin, VT by specialty
• Physical Therapist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.