Individual provider Active NPI

Dawn Delmont Klotzko, MS, PT

  • Physical Therapist
  • Elizabethtown, NY
National Provider Identifier
1831722008
Registry record updated May 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
032111 Issued in NY
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 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 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 Other name

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

LicenseStateTypeSpecialty
032111NYMDPhysical 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.

Verify at the official NPI Registry.