Active NPI
Andrea Kluender
- Physical Therapist
- Venice, FL
National Provider Identifier
1821579483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT33951
- Practice address
- 417 Commercial CT Ste C
Venice, FL 34292-1655 - Phone
- (941) 485-0121
- NPI assigned
- Aug 22, 2018
- Last updated
- Aug 22, 2018
- 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 | PT33951 | FL | Primary |
Addresses
Primary practice location
417 Commercial CT Ste C
Venice, FL 34292-1655
Mailing address
10014 N Dale Mabry Hwy Ste C-100
Tampa, FL 33618-4426
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT33951 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534896000000",
"number": "1821579483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10014 N DALE MABRY HWY STE C-100",
"city": "TAMPA",
"state": "FL",
"postal_code": "336184426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 COMMERCIAL CT STE C",
"city": "VENICE",
"state": "FL",
"postal_code": "342921655",
"telephone_number": "941-485-0121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLUENDER",
"first_name": "ANDREA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-22",
"last_updated": "2018-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT33951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Venice, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.