Active NPI
Elizabeth Anne Clemens, P.T.
- Physical Therapist
- Seattle, WA
National Provider Identifier
1184655920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00007227
- Practice address
- 8028 35TH Ave NE
Seattle, WA 98115-4815 - Phone
- (206) 524-0124
- Fax
- (206) 524-0125
- NPI assigned
- Jul 6, 2006
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00007227 | WA | Primary |
Addresses
Primary practice location
8028 35TH Ave NE
Seattle, WA 98115-4815
Mailing address
10316 45TH Ave NE
Seattle, WA 98125-8122
Phone (206) 528-0519
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0142109 | Other | WA | LABOR AND INDUSTRIES |
| 4131 | Other | WA | MOLINA HEALTHCARE OF WA |
| 8901755 | Other | WA | CRIME VICTIMS COMP |
| 8334815 | Medicaid | WA |
Other names 1
- Mrs. Liz Anne Clemens
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Specialties of Seattle P S | 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.
-
- Physical Therapy Clinic/Center
- Seattle, WA
- NPI 1972784635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184655920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10316 45TH AVE NE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981258122",
"telephone_number": "206-528-0519",
"fax_number": "206-528-0519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8028 35TH AVE NE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981154815",
"telephone_number": "206-524-0124",
"fax_number": "206-524-0125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMENS",
"first_name": "ELIZABETH",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00007227",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRIES",
"identifier": "0142109",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA HEALTHCARE OF WA",
"identifier": "4131",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRIME VICTIMS COMP",
"identifier": "8901755",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8334815",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LIZ",
"last_name": "CLEMENS",
"middle_name": "ANNE",
"prefix": "MRS.",
"credential": "P.T.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Seattle, WA
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.