Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Hayden Klockenga, DPT

Individual provider Physical Therapist · NPI 1073147161

Hayden Klockenga, DPT is a Physical Therapist in Private Practice in Mount Vernon, Illinois. Qualified in 2019, 7 years ago. Practices with Orthopaedic Center of Southern Illinois, Ltd, a 20-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
7
Licensed in
IL
In the registry since
2020
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

4121 Veterans Memorial Dr
Mount Vernon, IL 62864-6262
Phone: (618) 242-3778
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070024984 (IL)

Record details

NPI number1073147161
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedFebruary 27, 2020
Last updated in NPPESFebruary 27, 2020
Certification dateFebruary 27, 2020
Mailing address4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Orthopaedic Center Of Southern Illinois, Ltd — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Mount Vernon