Individual provider Active NPI

Joseph Evan Clingan, PTA

  • Physical Therapy Assistant
  • Austin, TX
National Provider Identifier
1174352959
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2182959 Issued in TX
Practice address
3601 W William Cannon Dr Ste 215
Austin, TX 78749-1533
Phone
(512) 450-1300
Fax
(512) 450-1339
NPI assigned
Jul 30, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2182959 TX Primary

Addresses

Primary practice location

3601 W William Cannon Dr Ste 215
Austin, TX 78749-1533

Mailing address

3601 W William Cannon Dr Ste 215
Austin, TX 78749-1533
Phone (512) 450-1300

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

LicenseStateTypeSpecialty
2182959TXMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Sports Medicine LLP PastSince Aug 4, 2024 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/30366/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1174352959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 W WILLIAM CANNON DR STE 215",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787491533",
            "telephone_number": "512-450-1300",
            "fax_number": "512-450-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 W WILLIAM CANNON DR STE 215",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787491533",
            "telephone_number": "512-450-1300",
            "fax_number": "512-450-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINGAN",
        "first_name": "JOSEPH",
        "middle_name": "EVAN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2182959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.