Kelly M Kliemisch

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

46TR00772100 Issued in NJ

Practice address

54 N Park Ave
Shrewsbury, NJ 07702-4413

Phone

(732) 852-5311

NPI assigned

Aug 2, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pearl Rehabilitation LLCGroup PAC ID 2466863915, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pearl Rehabilitation LLC

  • Physical Medicine & Rehabilitation Physician
  • Shrewsbury, NJ
  • NPI 1225630122
  Medicare reassignment Care Compare group NPD
• John V. Figurelli Chiropractic, LLC

  • Chiropractor
  • Hazlet, NJ
  • NPI 1245697853
  Medicare reassignment NPD
• Parker Creek Neurorehabilitation

  • Physical Therapy Clinic/Center
  • Little Silver, NJ
  • NPI 1740743467
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1851073548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 SAINT JAMES AVE",
            "city": "UNION BEACH",
            "state": "NJ",
            "postal_code": "077352816",
            "telephone_number": "609-203-3565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 N PARK AVE",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024413",
            "telephone_number": "732-852-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLIEMISCH",
        "first_name": "KELLY",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "NJ",
            "license": "46TR00772100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Kelsey
• Angela Key, DSW, MSW, LCSW
• Hugh Kim, L.AC.
• Jenna Kimmerle
• Timothy G Kircher, LCSW
• Lindsay Klimik, PSY.D.
• Janet M Knapp, M.A, R.D, LDN
• Kerry Lynn Kornett, APN
• Daniel Harris Kort, M.D.
• Kristin Biri, LCSW LLC

• Physical Rehabilitation Occupational Therapist in Shrewsbury, NJ
• Providers in Shrewsbury, NJ by specialty
• Physical Rehabilitation Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.