Eric F Cleland, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5626 Issued in AZ

Practice address

1983 Commerce Center Cir
Prescott, AZ 86301-4454

Phone

(928) 771-1700

Fax

(928) 771-9900

NPI assigned

Dec 12, 2005

Last updated

Aug 3, 2020By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Granite Orthopaedics PLLCGroup PAC ID 6305025669, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Granite Orthopaedics, PLLC

  • Orthopaedic Surgery Physician
  • Prescott, AZ
  • NPI 1831408384
  Medicare reassignment Care Compare group
• Arches PPT, LLC

  dba Peterson Physical Therapy

  • Physical Therapy Clinic/Center
  • Prescott, AZ
  • NPI 1457671802
  NPD (past)
• Peterson PT LLC

  • Pediatric Sports Medicine Physician
  • Prescott, AZ
  • NPI 1669480968
  NPD (past)

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

{
    "created_epoch": "1134345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1215912498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1983 COMMERCE CENTER CIR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863014454",
            "telephone_number": "928-771-1700",
            "fax_number": "928-771-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1983 COMMERCE CENTER CIR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863014454",
            "telephone_number": "928-771-1700",
            "fax_number": "928-771-9900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1231 Willow Creek Rd",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "863011404",
            "country_code": "US",
            "telephone_number": "928-771-2977",
            "fax_number": "928-771-2987",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLELAND",
        "first_name": "ERIC",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-12",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PT 8290",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "5626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "679951",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claussen Collaborative Medical Clinic LLC
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• Clean Adventures of Sober Living, LLC
• Clear Choice Leasing (New Era Hearing)
• Lisa Simone Cleary, LCSW
• Marybeth Cleland, RN
• Roxanne Clever, LMSW
• Gary N Cline, PMHNP
• Heide Cline, M.A., CCC-SLP
• Michelle Darlene Closs, LMT

• Physical Therapist in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.