Ezra N Klemow, PT, DPT, MS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01778700 Issued in NJ

Practice address

408 Lareine Ave
Bradley Beach, NJ 07720

Phone

(908) 251-7358

NPI assigned

Feb 19, 2018

Last updated

May 23, 2018By the provider in NPPES

Sex

Male

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

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shore Strength Physical Therapy and Sports PerformanceGroup PAC ID 0345772117, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Shore Strength Physical Therapy and Sports Performance

  • Physical Therapy Clinic/Center
  • Ocean, NJ
  • NPI 1730760240

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Atlantic Physical Therapy Center

  • Orthopedic Physical Therapist
  • Toms River, NJ
  • NPI 1801857917
  Medicare reassignment NPD
• Atlantic Physical Therapy Center

  • Hand Occupational Therapist
  • Oakhurst, NJ
  • NPI 1659945228
  NPD

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

{
    "created_epoch": "1518998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527033600000",
    "number": "1952801755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 LAREINE AVE",
            "city": "BRADLEY BEACH",
            "state": "NJ",
            "postal_code": "077201339",
            "telephone_number": "908-251-7358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 LAREINE AVE",
            "city": "BRADLEY BEACH",
            "state": "NJ",
            "postal_code": "07720",
            "telephone_number": "908-251-7358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEMOW",
        "first_name": "EZRA",
        "middle_name": "N",
        "credential": "PT, DPT, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-19",
        "last_updated": "2018-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01778700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelley Higgins, NBC-HWC, MA
• Lauren G Hymanson
• Jane S Dougherty LPC LLC
• Marc Frederick Jenkins, D.C.
• Jersey Transportation
• Kelly Klemow
• Laura Colleen Kumar, RD
• Stephen Anthony La Regina, ATC
• Frank Lee, M.D.
• Karen M Levasseur, LCSW

• Physical Therapist in Bradley Beach, NJ
• Providers in Bradley Beach, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; 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.