DR. JON MARK KAKLEAS D.C. P.T. NPI 1184841728

NPI Information

NPI: 1184841728
Provider Name: DR. JON MARK KAKLEAS, D.C., P.T.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
4380 REDWOOD HWY STE B6
SAN RAFAEL, CA
ZIP 94903
Phone: (415) 499-8469
Get Directions

DR. Jon Mark Kakleas, D.C., P.T. is a chiropractor in San Rafael, CA. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DR. Jon Mark Kakleas, D.C., P.T. NPI is 1184841728. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4380 REDWOOD HWY STE B6
SAN RAFAEL, CA
ZIP 94903-110
Phone: (415) 499-8469
Fax: (415) 499-8645

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Chiropractic manipulative treatment, 1-2 spinal regions (HCPCS:98940)

The enumeration date for this NPI number is 4/18/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		DC 23537	CALIFORNIA	Yes
2	225100000X	Physical Therapist		PT 109380	CALIFORNIA	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	OPT 109380	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	PHYSICAL THERAPIST
2	DC 023537	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	CHIROPRACTOR

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »