Individual provider Active NPI

Christine Ann Klody, DPT,MPT, CSCS

  • Physical Therapist
  • Naperville, IL
National Provider Identifier
1912928920
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070013512 Issued in IL
Practice address
1804 Centre Point Cir
Suite 102
Naperville, IL 60563-1440
Phone
(630) 955-1940
Fax
(630) 955-1944
NPI assigned
Jul 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2008

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 070013512 IL Primary

Addresses

Primary practice location

1804 Centre Point Cir
Suite 102
Naperville, IL 60563-1440

Mailing address

6013 River Bend Dr
Lisle, IL 60532-2194
Phone (312) 286-7147

Other names 1

  • Christine Ann Puccio Former 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)
Enrolled

State licenses

LicenseStateTypeSpecialty
070013512ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthocare Physical Therapy, PC Physical Therapist Past Accepting new patients
HCR Manorcare Medical Services of Florida LLC Past Accepting new patients
Accelerated Rehabilitation Centers LTD 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.

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216944000000",
    "number": "1912928920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6013 RIVER BEND DR",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605322194",
            "telephone_number": "312-286-7147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 CENTRE POINT CIR",
            "address_2": "SUITE 102",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605631440",
            "telephone_number": "630-955-1940",
            "fax_number": "630-955-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLODY",
        "first_name": "CHRISTINE",
        "middle_name": "ANN",
        "credential": "DPT,MPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2008-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070013512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "PUCCIO",
            "middle_name": "ANN",
            "credential": "DPT, MPT, CSCS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; 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.