Zachariah Scott Clemsen, LAT, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA011125 Issued in OH

Practice address

18621 Neff Rd
Cleveland, OH 44119-3018

Phone

(216) 486-0268

NPI assigned

Sep 12, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1410480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1023419710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18621 NEFF RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441193018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18621 NEFF RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441193018",
            "telephone_number": "216-486-0268"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7939 Honeygo Blvd",
            "address_2": "Suit 131",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212364931",
            "country_code": "US",
            "telephone_number": "410-931-2738",
            "fax_number": "410-931-2739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEMSEN",
        "first_name": "ZACHARIAH",
        "middle_name": "SCOTT",
        "credential": "LAT, PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-12",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MD",
            "license": "A00264",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "PTA011125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breanay Clemons
• Georquetta M Clemons
• Meaghan S Clemons, LSW
• Shanice L Clemons
• Christina Cavalier Clemow, D.O.
• Cleveland Academy for Scholarship Technology & Leadership
• Cleveland Accident Rehab, LLC
• Cleveland Accident Rehab, LLC
• Cleveland Arts & Social Sciences Academy
• Cleveland Arts and Wellness Center

• Physical Therapy Assistant in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Physical Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; 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.