Jennifer Ilene Klee-Bienstock, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

28510 Issued in CA

Practice address

170 Los Carneros Way
Goleta, CA 93117-3012

Phone

(805) 968-4487

Fax

(805) 685-8890

NPI assigned

Oct 3, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elite Rehabilitation Center, Inc.Group PAC ID 5193804276, 12 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Elite Rehabilitation Center, Inc.

  • Physical Therapy Clinic/Center
  • Santa Barbara, CA
  • NPI 1013940634
  Medicare reassignment Care Compare group
• Affinity Medical Fitness Dba Medfit Physical Therapy

  • Physical Therapist
  • Goleta, CA
  • NPI 1881896587
  NPD (past)

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191369600000",
    "number": "1972790939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 E ALAMAR AVE",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931053050",
            "telephone_number": "805-687-7902",
            "fax_number": "805-685-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 LOS CARNEROS WAY",
            "city": "GOLETA",
            "state": "CA",
            "postal_code": "931173012",
            "telephone_number": "805-968-4487",
            "fax_number": "805-685-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEE-BIENSTOCK",
        "first_name": "JENNIFER",
        "middle_name": "ILENE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-03",
        "last_updated": "2007-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "28510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPIN",
            "identifier": "WPT23025A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Calvin S. Kim, D.M.D.
• Da Bin Kim
• Jesse Gawsung Kim, DDS
• Soo Yeon Kim
• Sheyenne Mikaela Kirchoff
• Anselm Lucien Knecht
• Koegel Autism Consultants
• Megan Michele Kotlarz, APN-CNP
• Jennifer Koumaras, D.D.S.
• Sophia Kramer

• Physical Therapist in Goleta, CA
• Providers in Goleta, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; 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.