Thomas Clemens, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0016766 Issued in CO

Practice address

725 6TH St
Clarkston, WA 99403

NPI assigned

Jan 15, 2020

Last updated

Jan 15, 2020By the provider in NPPES

Sex

Male

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

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Knelsen Twin Rivers Physical Therapy

  • Physical Therapist
  • Clarkston, WA
  • NPI 1013669852
  NPD

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1023648268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 E ALAMEDA AVENUE APT 623",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80230",
            "telephone_number": "815-677-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 6TH ST",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "99403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENS",
        "first_name": "THOMAS",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-15",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0016766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarkston of Cascadia, LLC
• Clarkston School District
• Clearwater Anesthesia PC
• Clearwater Endodontics, P.L.L.C.
• Matthew S. Clegg, D.D.S., M.S.
• Clint Olson, LLC (Clarkston Denturist Clinic)
• Heather Cochrell
• Erika R. Cody
• Allison Cole, MSW
• Alayne Coleman

• Physical Therapist in Clarkston, WA
• Providers in Clarkston, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.