Individual provider Active NPI

Luke D Klaja, PT

  • Physical Therapist
  • Klamath Falls, OR
National Provider Identifier
1932260718
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0844 Issued in OR
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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 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

IdentifierTypeStateIssuer
163394MedicaidOR
007334001OtherBLUE CROSS
A002OtherTRICARE

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
0844ORMDPhysical 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.

Verify at the official NPI Registry.