Kenneth Wade Klare, LPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1096576 Issued in TX

Practice address

702 E Mimosa St
Rockport, TX 78382-4151

Phone

(361) 729-8838

Fax

(361) 729-9508

NPI assigned

Jul 20, 2005

Last updated

Apr 5, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Texas Southwestern Medical School at Dallas, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Klare Physical Therapy, PC

  • Physical Therapy Clinic/Center
  • Rockport, TX
  • NPI 1861671919

  Physical Therapist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333584000000",
    "number": "1861491961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 E MIMOSA ST",
            "city": "ROCKPORT",
            "state": "TX",
            "postal_code": "783824151",
            "telephone_number": "361-729-8838",
            "fax_number": "361-729-9508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 E MIMOSA ST",
            "city": "ROCKPORT",
            "state": "TX",
            "postal_code": "783824151",
            "telephone_number": "361-729-8838",
            "fax_number": "361-729-9508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLARE",
        "first_name": "KENNETH",
        "middle_name": "WADE",
        "name_prefix": "Mr.",
        "credential": "LPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2012-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1096576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "83755T",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTHCARE",
            "identifier": "7019083",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0632119-01",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "6400153",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Margaret Kieschnick, PHARMD
• Karl Kietzke, M.D.
• Deedee Marie Kilough
• Kimberly Maroney, M.D., P.a.
• Klare Physical Therapy, PC
• Crystal Lynn Landgraf, FNP-BC
• Linda Herndon Lee, LPC
• Linda Faye Lemmons, SPEECH PATHOLOGIST
• Neil Irwin Leva, M.S.W.
• Karen Drew Linn, PT

• Physical Therapist in Rockport, TX
• Providers in Rockport, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; 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.