Active NPI
Douglas Bryan Klein, P.T.
- Physical Therapist
- Media, PA
National Provider Identifier
1881663011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT015036
- Practice address
- 101 N Monroe St
2ND Floor
Media, PA 19063-3037 - Phone
- (484) 444-0135
- Fax
- (610) 565-3773
- NPI assigned
- Mar 17, 2006
- Sex
- Male
- Sole proprietor
- No
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 | PT015036 | PA | Primary |
Addresses
Primary practice location
101 N Monroe St
2ND Floor
Media, PA 19063-3037
Mailing address
412 Aldan Ave
Aldan, PA 19018-4204
Phone (610) 394-2645
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| KL1315092 | Other | PA | HIGHMARK BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2087 Shore Rd
Suite 24
Seaville, NJ 08230
Phone (609) 536-4995
215 N Main St
Suite 102
Cape May Court House, NJ 08210-2192
Phone (609) 536-4995
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT015036 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cape Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Orthopedic Sports & Arthritis Surgery | Past | Accepting new patients | |
| Leading Edge Physical Therapy & Sports Medicine, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Physical Therapy Clinic/Center
- Cape May Court House, NJ
- NPI 1144584947
Physical Therapist
-
- Physical Therapist
- Media, PA
- NPI 1568495695
-
- Orthopaedic Surgery Physician
- Paoli, PA
- NPI 1316917594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197417600000",
"number": "1881663011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "412 ALDAN AVE",
"city": "ALDAN",
"state": "PA",
"postal_code": "190184204",
"telephone_number": "610-394-2645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 N MONROE ST",
"address_2": "2ND FLOOR",
"city": "MEDIA",
"state": "PA",
"postal_code": "190633037",
"telephone_number": "484-444-0135",
"fax_number": "610-565-3773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEIN",
"first_name": "DOUGLAS",
"middle_name": "BRYAN",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-17",
"last_updated": "2007-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT015036",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "KL1315092",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Media, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.