CARLEY KLOCKO (NPI# 1376045674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376045674 |
| Entity Type | Individual |
| Full Name | CARLEY KLOCKO |
| Practice Address |
235 Wealthy St Se Grand Rapids MI 49503-5247 |
| Practice Telephone | 6168408323 |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2018-03-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1730133463 | 05 |
| Street Address |
235 WEALTHY ST SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-5247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245212893 | Peter E Sices | Internal Medicine | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2005-11-18 |
| 1437756632 | Rebecca Lynn Grier | Physical Therapist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2020-10-01 |
| 1225643208 | Jessica Evans | Physical Therapist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2020-09-15 |
| 1114547544 | Jenae Swiercz | Physical Therapist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2020-04-27 |
| 1740847193 | Jennifer Carrier-masse | Nurse Practitioner | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2019-05-21 |
| 1598220402 | Kimberley Joy Paszkowski | Speech-Language Pathologist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2019-02-05 |
| 1659843795 | Marissa Korodan | Speech-Language Pathologist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2018-12-31 |
| 1750853081 | Lindsey Riker | Speech-Language Pathologist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2018-12-27 |
| 1407328727 | Melanie Truer | Speech-Language Pathologist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2018-12-27 |
| 1730651068 | Megan Stasiak | Speech-Language Pathologist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2018-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063980373 | Fuel Physical Therapy & Sports Performance, LLC | Physical Therapist | 1139 Houseman Ave Ne, Grand Rapids, MI 49503-1229 | 2018-11-05 |
| 1366606808 | Kurt Michael Lockman | Physical Therapist | 1300 Michigan St, Suite 200, Grand Rapids, MI 49503 | 2008-07-14 |
| 1255533014 | Nicholas David Smith | Physical Therapist | 1525 E Beltline Ave Ne Ste 101, Grand Rapids, MI 49525-4598 | 2007-06-04 |
| 1033134051 | Lynda Lee Griffith | Physical Therapist | 1311 S Pokegama Ave, Grand Rapids, MN 55744-4210 | 2006-07-12 |
| 1770080236 | Mary Free Bed Rehabilitaiton Hospital | Physical Therapist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2018-04-11 |
| 1386141836 | Christopher Wise | Physical Therapist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2018-04-11 |
| 1285131953 | Carrie Ann Brzezinski | Physical Therapist | 2249 Wealthy St Se Ste 120, Grand Rapids, MI 49506-3052 | 2018-04-10 |
| 1447754528 | Jennafer Ann Vandevegte | Physical Therapist | 2750 E Beltline Ave Ne, Grand Rapids, MI 49525-8614 | 2018-03-22 |
| 1306349006 | Brian Oconnell | Physical Therapist | 4100 Lake Dr Se Ste B03, Grand Rapids, MI 49546-8292 | 2018-03-09 |
| 1831691138 | Douglas Craig Sjoerdsma Jr. | Physical Therapist | 245 Cherry St Se, Grand Rapids, MI 49503-4607 | 2018-03-02 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
Please comment or provide details below to improve the information on CARLEY KLOCKO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.