Provider Demographics
NPI:1922039197
Name:KLEGER, ADAM J (PT)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:J
Last Name:KLEGER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5049 SWAMP RD
Mailing Address - Street 2:P.O. BOX 462
Mailing Address - City:FOUNTAINVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18923-9659
Mailing Address - Country:US
Mailing Address - Phone:215-348-5046
Mailing Address - Fax:215-348-8799
Practice Address - Street 1:54 E OAKLAND AVE
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-4651
Practice Address - Country:US
Practice Address - Phone:215-348-4002
Practice Address - Fax:215-348-4910
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT011744L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
061033Medicare ID - Type Unspecified