Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LAUREN KLOTZBACH, PT
Deactivated Sole ProprietorLAUREN KLOTZBACH, PT is a Physical Therapy Assistant healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1649861337 is deactivated in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · PHILADELPHIA, PA
This NPI has been deactivated.
The record was deactivated on February 10, 2021.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1649861337
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 27, 2021 (0.038356164383562 yrs)
- Last Updated
- Apr 30, 2021
- Deactivated
- Feb 10, 2021
- Licenses
-
40QA01927200 (NJ)PT029351 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1714 FAIRMOUNT AVEPHILADELPHIA, PA, 191302812Browse PA providers · Browse ZIP 19130
- Phone
- 2676066923
- Fax
- 2676393690
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in PHILADELPHIA, PA
| Name | Credential | NPI |
|---|---|---|
| BEVERLY R. SAMSON | PT | 1972501336 |
| STEPHANIE SELLECCHIA | DPT | 1760480933 |
| MR. JOSEPH T. RUHL JR. | PT, ATC | 1639177744 |
| DR. SARAH BROOK WENGER | PT, DPT, OCS | 1417956137 |
| MRS. DEBORAH MARIE LYNCH-JOHNSON | PT, CERT MDT | 1962401521 |
| KIMBERLY WALLACE | PT | 1114926698 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.