Active NPI
Kenneth Andrew Kloos, P.T.
- Physical Therapist
- Rocklin, CA
National Provider Identifier
1871591552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 14730
- Practice address
- 2241 Sunset Blvd
Suite a
Rocklin, CA 95765-4230 - Phone
- (916) 435-8950
- Fax
- (916) 435-8951
- NPI assigned
- Jul 7, 2005
- Sex
- Male
- 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 | PT 14730 | CA | Primary |
Addresses
Primary practice location
2241 Sunset Blvd
Suite a
Rocklin, CA 95765-4230
Mailing address
2241 Sunset Blvd
Suite a
Rocklin, CA 95765-4230
Phone (916) 435-8950
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4731926-5 | Other | EMPLOYMENT DEVELOPMENT DE |
Other names 1
- K Andrew Kloos
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 14730 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287014400000",
"number": "1871591552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2241 SUNSET BLVD",
"address_2": "SUITE A",
"city": "ROCKLIN",
"state": "CA",
"postal_code": "957654230",
"telephone_number": "916-435-8950",
"fax_number": "916-435-8951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2241 SUNSET BLVD",
"address_2": "SUITE A",
"city": "ROCKLIN",
"state": "CA",
"postal_code": "957654230",
"telephone_number": "916-435-8950",
"fax_number": "916-435-8951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLOOS",
"first_name": "KENNETH",
"middle_name": "ANDREW",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2010-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 14730",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPLOYMENT DEVELOPMENT DE",
"identifier": "4731926-5",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "K",
"last_name": "KLOOS",
"middle_name": "ANDREW",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Rocklin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.