Thomas L Clennell, D.P.T.

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

License

36462 Issued in CA

Practice address

100 N Wiget LN
Ste 200
Walnut Creek, CA 94598-5988

Phone

(925) 988-0100

NPI assigned

Mar 2, 2010

Last updated

Mar 3, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1267488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267574400000",
    "number": "1194048363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N WIGET LN",
            "address_2": "STE 200",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945985988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N WIGET LN",
            "address_2": "STE 200",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945985988",
            "telephone_number": "925-988-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLENNELL",
        "first_name": "THOMAS",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-02",
        "last_updated": "2010-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "CA",
            "license": "36462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Cleary, MS, CCC-SLP
• Mikaela Cleland, BS
• Mary V. Clemency, MD
• Samantha Cristina Clemens, PH.D.
• David Clemons, MD
• Jessica M Clima, MD
• Sienna Climons
• Amy K Clouse, MD
• Clover Pharmacy Inc
• Janice Cobbs

• Sports Physical Therapist in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Sports Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; 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.