Individual provider Active NPI

Adam Klein, DPT

  • Physical Therapist
  • Herndon, VA
National Provider Identifier
1922750512
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP036789T Issued in VA
Practice address
150 Elden St Ste 210
Herndon, VA 20170-4845
Phone
(703) 689-3737
Fax
(703) 689-3889
NPI assigned
Jan 25, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA02265900 NJ
Physical Therapist 225100000X CP036789T VA Primary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 0018175 CO

Addresses

Primary practice location

150 Elden St Ste 210
Herndon, VA 20170-4845

Mailing address

20 Cranbury Neck Rd
Cranbury, NJ 08512-2810
Phone (732) 476-7022

Other practice location 1

2260 S Xanadu Way Ste 245
Aurora, CO 80014-6558
Phone (303) 755-8826

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, RI3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20250220004070 DC Practitioner - Physical Therapist in Private Practice 2769878297 Reassigns benefits to 1 organization
I20250325001867 VA Practitioner - Physical Therapist in Private Practice 2769878297 Reassigns benefits to 1 organization
I20250723002539 RI Practitioner - Physical Therapist in Private Practice 2769878297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay State Physical Therapy PCGroup PAC ID 6305176850, 37 clinicians

Practice addresses (Care Compare)

927 B Warren Ave
East Providence, RI 02914-1423
Phone (401) 438-0905

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0018175COMDSports Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bay State Physical Therapy PC Physical Therapist CurrentSince Jul 17, 2025 Accepting new patients
Jackson Clinics Limited Partnership Physical Therapist CurrentSince Dec 21, 2024 Accepting new patients
The Jackson Clinics LLC Physical Therapist Past Accepting new patients
Center for Vein Restoration MD LLC PastSince Nov 17, 2024 Accepting new patients

Locations

703 Granite St
Ste 300
Braintree, MA 02184
Phone (603) 626-4205

927 Warren Ave
#B
East Providence, RI 02914
Phone (401) 438-0905

235 Plain St
Ste 307
Providence, RI 02905
Phone (401) 414-4601

43490 Yukon Dr
Ashburn, VA 20147
Phone (703) 729-7920

43490 Yukon Dr
Ste 212
Ashburn, VA 20147
Phone (703) 729-7920

12701 Fair Lakes Cir
Ste 102
Fairfax, VA 22033

150 Elden St
Ste 210
Herndon, VA 20170
Phone (703) 689-3737

Organizations & group practices 4

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": "1643068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1922750512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CRANBURY NECK RD",
            "city": "CRANBURY",
            "state": "NJ",
            "postal_code": "085122810",
            "telephone_number": "732-476-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 ELDEN ST STE 210",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704845",
            "telephone_number": "703-689-3737",
            "fax_number": "703-689-3889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2260 S Xanadu Way Ste 245",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800146558",
            "country_code": "US",
            "telephone_number": "303-755-8826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "ADAM",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-25",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02265900",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "CP036789T",
            "primary": true
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "CO",
            "license": "0018175",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.