Active NPI
Dawn Delmont Klotzko, MS, PT
- Physical Therapist
- Elizabethtown, NY
National Provider Identifier
1831722008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 032111
- Practice address
- 75 Park Street
Elizabethtown, NY 12932 - Phone
- (518) 873-6377
- Fax
- (518) 873-3097
- NPI assigned
- Feb 17, 2020
- Last updated
- May 1, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 032111 | NY | Primary |
Addresses
Primary practice location
75 Park Street
Elizabethtown, NY 12932
Mailing address
PO Box 75
Upper Jay, NY 12987-0075
Phone (518) 946-7655
Other practice location 1
130 Mountain Meadows Way
Upper Jay, NY 12987
Phone (518) 946-7655
Other names 1
- Dawn Delmont
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 032111 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588291200000",
"number": "1831722008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 75",
"city": "UPPER JAY",
"state": "NY",
"postal_code": "129870075",
"telephone_number": "518-946-7655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 PARK STREET",
"city": "ELIZABETHTOWN",
"state": "NY",
"postal_code": "12932",
"telephone_number": "518-873-6377",
"fax_number": "518-873-3097"
}
],
"practiceLocations": [
{
"address_1": "130 Mountain Meadows Way",
"address_purpose": "LOCATION",
"city": "Upper Jay",
"state": "NY",
"postal_code": "12987",
"country_code": "US",
"telephone_number": "518-946-7655",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KLOTZKO",
"first_name": "DAWN",
"middle_name": "DELMONT",
"credential": "MS, PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-17",
"last_updated": "2020-05-01",
"certification_date": "2020-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "032111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DAWN",
"last_name": "DELMONT",
"credential": "MS, PT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Elizabethtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.