Active NPI
Ralph Paul Clemmons, PTA
- Physical Therapy Assistant
- Reno, NV
National Provider Identifier
1114678513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A-0648
- Practice address
- 3101 Plumas St
Reno, NV 89509-4515 - Phone
- (702) 556-1605
- NPI assigned
- Jan 17, 2022
- 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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A-0648 | NV | Primary |
Addresses
Primary practice location
3101 Plumas St
Reno, NV 89509-4515
Mailing address
30302 Bumble Bee Dr
Georgetown, TX 78628-3718
Phone (702) 556-1605
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | pclemmons@reliant-rehab.com | Direct |
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 |
|---|---|---|---|
| A-0648 | NV | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642377600000",
"number": "1114678513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30302 BUMBLE BEE DR",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786283718",
"telephone_number": "702-556-1605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3101 PLUMAS ST",
"city": "RENO",
"state": "NV",
"postal_code": "895094515",
"telephone_number": "702-556-1605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMMONS",
"first_name": "RALPH",
"middle_name": "PAUL",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-01-17",
"last_updated": "2022-01-17",
"certification_date": "2022-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NV",
"license": "A-0648",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "pclemmons@reliant-rehab.com",
"affiliation": "N",
"endpointDescription": "Secure work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3101 Plumas St",
"city": "Reno",
"state": "NV",
"country_code": "US",
"postal_code": "895094515",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.