Active NPI
Chad Aaron Clements, ATC
- Athletic Trainer
- Auburndale, MA
National Provider Identifier
1114089984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1647
- Practice address
- 1844 Commonwealth Ave
Auburndale, MA 02466-2709 - Phone
- (617) 243-2421
- NPI assigned
- Dec 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 1647 | MA | Primary |
Addresses
Primary practice location
1844 Commonwealth Ave
Auburndale, MA 02466-2709
Mailing address
224 Lake Ave
Worcester, MA 01604-1102
Phone (508) 523-9786
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1647 | MA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lasell College | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Health Service Clinic/Center
- Auburndale, MA
- NPI 1548634637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114089984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 LAKE AVE",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016041102",
"telephone_number": "508-523-9786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1844 COMMONWEALTH AVE",
"city": "AUBURNDALE",
"state": "MA",
"postal_code": "024662709",
"telephone_number": "617-243-2421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMENTS",
"first_name": "CHAD",
"middle_name": "AARON",
"name_prefix": "Mr.",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MA",
"license": "1647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburndale, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.