Kelley Elizabeth Kluender, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 003405 Issued in WV

Practice address

719 Fairmont Ave
#102
Fairmont, WV 26554-5118

Phone

(304) 363-8543

NPI assigned

Nov 24, 2014

Last updated

Nov 24, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Juneau Aesthetics & Wellness LLC

  • Specialist
  • Juneau, AK
  • NPI 1144101981
  NPD (past)
• Pleasants Integrative Health Consultants

  • Psychiatric/Mental Health Nurse Practitioner
  • Juneau, AK
  • NPI 1619644846
  NPD (past)

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416787200000",
    "number": "1932506698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 FAIRMONT AVE",
            "address_2": "#102",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265545118",
            "telephone_number": "304-363-8543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 FAIRMONT AVE",
            "address_2": "#102",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265545118",
            "telephone_number": "304-363-8543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUENDER",
        "first_name": "KELLEY",
        "middle_name": "ELIZABETH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-24",
        "last_updated": "2014-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "PT 003405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Kite, M.S., CF-SLP
• Emily Kittle
• Clinton Roger Kitzmiller
• Kierstin Klingler, BA
• Amanda Klodzinski
• Tiffiny Ann Kluth
• Lynn Knapke, DBH, MA, CHES
• Kayla Kniceley, PLSW
• Anna Kaye Knotts, M.S./CCC-SLP
• Erica S Knotts, PA-C

• Physical Therapist in Fairmont, WV
• Providers in Fairmont, WV by specialty
• Physical Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; 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.