Clover Physical Therapy, P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

021702 Issued in NY

Legal business name

CLOVER PHYSICAL THERAPY, P.C.

Practice address

3019 Monroe Ave
Suite 200
Rochester, NY 14618-4603

Phone

(585) 354-1590

NPI assigned

Nov 29, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Ronald Clark Wood III, PTNPI 1518966464

Title

President

Phone

(585) 354-1590

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ronald Clark Wood III, P.T.

  • Physical Therapist
  • Pittsford, NY
  • NPI 1518966464
  Medicare reassignment NPD Authorized official
• Erika M Kozlowski, P.T.

  • Physical Therapist
  • Rochester, NY
  • NPI 1720087679
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114094919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 LEEDS CIR",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145349428",
            "telephone_number": "585-586-8867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3019 MONROE AVE",
            "address_2": "SUITE 200",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146184603",
            "telephone_number": "585-354-1590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOVER PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-354-1590",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "021702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Susann H Clothier, D.C.
• Brittany Marie Cloud, D.O.
• Clover Mental Health Psychiatric Nursing PC
• Charise Clune
• Clutch Transportation LLC
• Allison M.C. Clyde, NP
• CMS Transport of Western Ny LLC
• Lucille Anne Coady, NP

• Physical Therapist in Rochester, NY
• Providers in Rochester, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.