Individual provider Active NPI

Joseph Klarberg

  • Physical Therapist
  • Henderson, NV
National Provider Identifier
1942958418
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4835 Issued in NV
Practice address
1562 Harwood Ave
Henderson, NV 89012-2417
Phone
(347) 372-9222
NPI assigned
Mar 14, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 048534-01 NY
Physical Therapist 225100000X 4835 NV Primary

Addresses

Primary practice location

1562 Harwood Ave
Henderson, NV 89012-2417

Mailing address

1562 Harwood Ave
Henderson, NV 89012-2417
Phone (347) 372-9222

Other identifiers 1

IdentifierTypeStateIssuer
048534-01OtherNYNEW YORK EDUCATION DEPARTMENT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240126003646 NV Practitioner - Physical Therapist in Private Practice 9830576073 Practice locations: Henderson, NV
I20240329002706 NV Practitioner - Physical Therapist in Private Practice 9830576073 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
Outbound Therapy Services LLCGroup PAC ID 8224475777, 5 clinicians

Practice addresses (Care Compare)

1562 Harwood Ave
Henderson, NV 89012-2417
Phone (347) 372-9222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4835NVMDPhysical Therapist
048534-01NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Outbound Therapy Services LLC Physical Therapist CurrentSince Jan 17, 2024 Accepting new patients
Freedom Physical Therapy, P.C. PastSince Mar 20, 2022 Accepting new patients

Organizations & group practices 2

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": "1647216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1942958418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1562 HARWOOD AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890122417",
            "telephone_number": "347-372-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1562 HARWOOD AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890122417",
            "telephone_number": "347-372-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLARBERG",
        "first_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-14",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "048534-01",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "4835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK EDUCATION DEPARTMENT",
            "identifier": "048534-01",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.