Susan Jo Ann Klas, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

379 - 019 Issued in WI

Practice address

1834 W Wisconsin Ave
Milwaukee, WI 53233-2125

Phone

(414) 933-9813

NPI assigned

May 4, 2007

Reactivated

Sep 24, 2008

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222214400000",
    "number": "1962614644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N5977 STATE ROAD 57",
            "city": "BELGIUM",
            "state": "WI",
            "postal_code": "530049778",
            "telephone_number": "920-994-4988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1834 W WISCONSIN AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532332125",
            "telephone_number": "414-933-9813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLAS",
        "first_name": "SUSAN",
        "middle_name": "JO ANN",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2008-09-24",
        "deactivation_date": "2008-08-19",
        "reactivation_date": "2008-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "379 - 019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Klain, MS
• Sarah Drake Klajbor, MS
• Susan Jane Klapper, APNP
• Kristin Klarenbeek, PHARM.D, BCPS
• James V Klas, M.D.
• Sara Ann Klasinski, D.D.S.
• Christopher L. Klassen, M.D., PH.D.
• Brooke Marie Klatkiewicz, MS, RDN
• Benjamin Alan Klatt, RN, FNP.
• Timothy E Klatt, MD

• Physical Therapy Assistant in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; 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.