Active NPI
Alison Chapel Clodfelter, PT, DPT
- Pediatric Physical Therapist
- Raritan, NJ
National Provider Identifier
1124715974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 40QA01939000
- Practice address
- 575 NJ RT 28
Building 1, Suite 204a
Raritan, NJ 08869 - Phone
- (908) 543-4390
- NPI assigned
- Apr 21, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 40QA01939000 | NJ | Primary |
Addresses
Primary practice location
575 NJ RT 28
Building 1, Suite 204a
Raritan, NJ 08869
Mailing address
575 NJ RT 28
Building 1, Suite 204a
Raritan, NJ 08869
Phone (908) 543-4390
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 |
|---|---|---|---|
| 40QA01939000 | NJ | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682035200000",
"number": "1124715974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 NJ RT 28",
"address_2": "BUILDING 1, SUITE 204A",
"city": "RARITAN",
"state": "NJ",
"postal_code": "08869",
"telephone_number": "908-543-4390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 NJ RT 28",
"address_2": "BUILDING 1, SUITE 204A",
"city": "RARITAN",
"state": "NJ",
"postal_code": "08869",
"telephone_number": "908-543-4390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLODFELTER",
"first_name": "ALISON",
"middle_name": "CHAPEL",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-21",
"last_updated": "2023-04-21",
"certification_date": "2023-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NJ",
"license": "40QA01939000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raritan, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.