Individual provider Active NPI

Joseph Allen Klein

  • Physical Therapist
  • Merced, CA
National Provider Identifier
1811261530
Registry record updated Jul 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
38820 Issued in CA
Practice address
1180 W Olive Ave Ste I
Merced, CA 95348
Phone
(209) 626-5350
NPI assigned
Feb 27, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2020

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 38820 CA Primary

Addresses

Primary practice location

1180 W Olive Ave Ste I
Merced, CA 95348

Mailing address

1820 Orchard LN
Merced, CA 95340-5111

Other practice location 1

500 W Glenoaks Blvd
Glendale, CA 91202-2813
Phone (818) 637-2127

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120502000258 CA Practitioner - Physical Therapist in Private Practice 7719149061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Performance Physical Therapy IncGroup PAC ID 5193158392, 2 clinicians

Practice addresses (Care Compare)

1180 W Olive Ave
Suite I
Merced, CA 95348-1900
Phone (209) 626-5350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38820CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Performance Physical Therapy, Inc. Physical Therapist CurrentSince Jun 13, 2019 Accepting new patients
Wellspring Therapy, Inc Physical Therapist PastSince Aug 31, 2015 Accepting new patients
Wellspring Therapy Inc Past Accepting new patients
Chapman and Di Redo Partnership Physical Therapist PastSince Nov 21, 2016 Accepting new patients

Locations

1180 W Olive Ave
Ste I
Merced, CA 95348
Phone (209) 384-3255

Organizations & group practices 4

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": "1330300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593820800000",
    "number": "1811261530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 ORCHARD LN",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953405111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 W OLIVE AVE STE I",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "95348",
            "telephone_number": "209-626-5350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 W Glenoaks Blvd",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912022813",
            "country_code": "US",
            "telephone_number": "818-637-2127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "JOSEPH",
        "middle_name": "ALLEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-27",
        "last_updated": "2020-07-04",
        "certification_date": "2020-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "38820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2020; 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.