Individual provider Active NPI

David Adam Klein, DPT

  • Physical Therapist
  • Mattapan, MA
National Provider Identifier
1811504210
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
26123 Issued in MA
Practice address
10 Fairway St
Mattapan, MA 02126-2153
Phone
(617) 298-2225
Fax
(617) 298-2226
NPI assigned
Sep 29, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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 26123 MA Primary

Addresses

Primary practice location

10 Fairway St
Mattapan, MA 02126-2153

Mailing address

10 Fairway St
Mattapan, MA 02126-2153
Phone (617) 298-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201102001678 NY Practitioner - Physical Therapist in Private Practice 6800206863 Reassigns benefits to 1 organization
I20221201001453 MA Practitioner - Physical Therapist in Private Practice 6800206863 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Comeback Physical Therapy, Inc. Physical Therapist CurrentSince Oct 19, 2022 Accepting new patients
First Step Physical Therapy of Long Island Physical Therapist CurrentSince Oct 19, 2020 Accepting new patients

Locations

415 Neponset Ave
Ste 2B
Dorchester, MA 02122
Phone (617) 287-2225

10 Fairway St
Mattapan, MA 02126
Phone (617) 298-2225

966 Park St
Ste A2
Stoughton, MA 02072
Phone (781) 341-1000

8 Saxon Ave
Ste B
Bay Shore, NY 11706
Phone (631) 328-2624

560 Walt Whitman Rd
Ste 1
Melville, NY 11747
Phone (631) 923-2288

900 Walt Whitman Rd
Ste 310
Melville, NY 11747
Phone (631) 923-2288

Organizations & group practices 2

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": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1811504210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FAIRWAY ST",
            "city": "MATTAPAN",
            "state": "MA",
            "postal_code": "021262153",
            "telephone_number": "617-298-2225",
            "fax_number": "617-298-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FAIRWAY ST",
            "city": "MATTAPAN",
            "state": "MA",
            "postal_code": "021262153",
            "telephone_number": "617-298-2225",
            "fax_number": "617-298-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "DAVID",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-29",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "26123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mattapan, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.