Tiffany A Clerk, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT009489 Issued in GA

Practice address

2801 N Decatur Rd
Suite 230
Decatur, GA 30033-5949

Phone

(404) 294-7211

Fax

(404) 294-7595

NPI assigned

Nov 13, 2008

Last updated

May 6, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/4405/brand/1/csg/1/fhir/r4

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273104000000",
    "number": "1003060351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 WISTERIA DR",
            "address_2": "SUITE A",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782689",
            "telephone_number": "770-982-0102",
            "fax_number": "770-982-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 N DECATUR RD",
            "address_2": "SUITE 230",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335949",
            "telephone_number": "404-294-7211",
            "fax_number": "404-294-7595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLERK",
        "first_name": "TIFFANY",
        "middle_name": "A",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-13",
        "last_updated": "2010-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT009489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Clarke, BACHELOR OF SCIENCE
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• Suzette Andrean Clements, D.P.M.,
• Shanard Clemons, LPC
• Amber Cleveland Lewter, LPC
• Karen Elizabeth Cleveland-Ward, LMSW
• Lorie Ann Click, RN
• Charles L Clifton Jr., M.D.
• Russell Clinding

• Physical Therapist in Decatur, GA
• Providers in Decatur, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.