Active NPI
Luke D Klaja, PT
- Physical Therapist
- Klamath Falls, OR
National Provider Identifier
1932260718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0844
- Practice address
- 204 North 10TH Street
Klamath Falls, OR 97601-2817 - Phone
- (541) 882-4544
- Fax
- (541) 882-7258
- NPI assigned
- Dec 13, 2006
- Last updated
- Oct 9, 2007
- 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 | 0844 | OR | Primary |
Addresses
Primary practice location
204 North 10TH Street
Klamath Falls, OR 97601-2817
Mailing address
204 North 10TH Street
Klamath Falls, OR 97601-2817
Phone (541) 882-4544
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 163394 | Medicaid | OR | |
| 007334001 | Other | BLUE CROSS | |
| A002 | Other | TRICARE |
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 |
|---|---|---|---|
| 0844 | OR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191888000000",
"number": "1932260718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 NORTH 10TH STREET",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "976012817",
"telephone_number": "541-882-4544",
"fax_number": "541-882-7258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 NORTH 10TH STREET",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "976012817",
"telephone_number": "541-882-4544",
"fax_number": "541-882-7258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLAJA",
"first_name": "LUKE",
"middle_name": "D",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2007-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "0844",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "163394",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "007334001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "A002",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Klamath Falls, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.