Heather M Klos, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

63002 Issued in OR

Practice address

1590 NE 3Rd St Ste B
Prineville, OR 97754

Phone

(541) 416-7476

Fax

(541) 416-7478

NPI assigned

Nov 1, 2006

Reactivated

Jul 20, 2015

Last updated

Dec 2, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Summit Rehabilitation PLLCGroup PAC ID 9133012362, 54 clinicians

Cascade Rehabilitation Associates PLLCGroup PAC ID 2567375728, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cascade Rehabilitation Associates, PLLC

  dba Cascade Rehabilitation

  • Occupational Therapist
  • Everett, WA
  • NPI 1245361617
  Medicare reassignment Care Compare group
• Summit Rehabilitation PLLC

  dba Summit Rehab

  • Multi-Specialty Clinic/Center
  • Lake Stevens, WA
  • NPI 1558492934
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1811074800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 NE CUSHING DR STE 150",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977013891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 NE 3RD ST STE B",
            "city": "PRINEVILLE",
            "state": "OR",
            "postal_code": "97754",
            "telephone_number": "541-416-7476",
            "fax_number": "541-416-7478"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10511 19th Ave SE",
            "address_2": "STE B",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982084279",
            "country_code": "US",
            "telephone_number": "425-357-8885",
            "fax_number": "425-357-8454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLOS",
        "first_name": "HEATHER",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2019-12-02",
        "deactivation_date": "2015-06-23",
        "reactivation_date": "2015-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT10151",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "63002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lee Kerber, BA, QMHA, PSST
• Sarah Deniece Kershner, NP
• Jessica King, MA, MS
• Maggie J King, MD
• Sally Lynn Klann, LMT
• Charelle Bren Knight-Nagel, ATC
• Corinne Rachelle Knox, RN
• Gabrielle Korpas
• Diana Lynn Kosinski-Hedrick, LMT
• Karen J Kramer, CADC 2

• Physical Therapist in Prineville, OR
• Providers in Prineville, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; 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.