Active NPI
Jackleen W Samuel-Kloes, DPT
- Physical Therapist
- Lewisville, TX
National Provider Identifier
1821402884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1243887
- Practice address
- 189 Elm St Ste 101
Lewisville, TX 75057-3884 - Phone
- (732) 429-2102
- Fax
- (972) 767-4003
- NPI assigned
- Jun 18, 2014
- Sex
- Female
- 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 | 1243887 | TX | Primary |
Addresses
Primary practice location
189 Elm St Ste 101
Lewisville, TX 75057-3884
Mailing address
189 Elm St Ste 101
Lewisville, TX 75057-3884
Phone (732) 429-2102
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Corporation of America Inc | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Home Health Agency
- Carrollton, TX
- NPI 1952431504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788825600000",
"number": "1821402884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "189 ELM ST STE 101",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750573884",
"telephone_number": "732-429-2102",
"fax_number": "972-767-4003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "189 ELM ST STE 101",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750573884",
"telephone_number": "732-429-2102",
"fax_number": "972-767-4003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMUEL-KLOES",
"first_name": "JACKLEEN",
"middle_name": "W",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-18",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1243887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewisville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.