Active NPI
Adam Klein, DPT
- Physical Therapist
- Herndon, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- CP036789T
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, RI
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0018175 | CO | MD | Sports Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay State Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Jackson Clinics Limited Partnership | Physical Therapist | Current | Accepting new patients |
| The Jackson Clinics LLC | Physical Therapist | Past | Accepting new patients |
| Center for Vein Restoration MD LLC | Past | 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.
-
- Physical Therapist
- Middleburg, VA
- NPI 1427034982
-
- Vascular Surgery Physician
- Prince Frederick, MD
- NPI 1912729211
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.