Gary Dean Clouse, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

875 W Poplar Ave Ste 18
Collierville, TN 38017-2568

Phone

(901) 850-5742

Fax

(901) 850-5701

NPI assigned

May 11, 2017

Last updated

Nov 11, 2019By 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

Enrolled in TN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dynamix Physical Therapy LLCGroup PAC ID 5193873933, 46 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Dynamix Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Milan, TN
  • NPI 1669619268
  Medicare reassignment Care Compare group NPD
• Kerry D. Friesen, M.D. PC

  • Internal Medicine Physician
  • Chattanooga, TN
  • NPI 1316052624
  NPD (past)
• Leader Physical Therapy Limited Partnership

  dba Memphis Physical Therapy

  • Physical Therapist
  • Lakeland, TN
  • NPI 1528830064
  NPD (past)
• Dynamix Physical Therapy LLC

  dba MS Dynamix Physical Therapy

  • Physical Therapy Clinic/Center
  • Corinth, MS
  • NPI 1962295576

  Physical Therapist

  NPD (past)
• Star Physical Therapy LP

  • Physical Therapist
  • Caruthersville, MO
  • NPI 1073375861
  NPD (past)

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573430400000",
    "number": "1235666090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CRESCENT CENTRE DR STE 300",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370677285",
            "telephone_number": "615-373-1350",
            "fax_number": "615-221-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 W POPLAR AVE STE 18",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380172568",
            "telephone_number": "901-850-5742",
            "fax_number": "901-850-5701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2257 N Germantown Pkwy",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Cordova",
            "state": "TN",
            "postal_code": "380167413",
            "country_code": "US",
            "telephone_number": "901-759-9210",
            "fax_number": "901-759-9138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLOUSE",
        "first_name": "GARY",
        "middle_name": "DEAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-11",
        "last_updated": "2019-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly M Churchwell, DDS
• Chase Clanton, DPT
• Clariti Eye Care, LLC
• Christopher Clark, DMD
• Stephanie Yau Cline, APRN, WHNP
• Lisa Collier
• Collierville Eyecare PLLC
• Collierville Family Health PLLC
• Collierville Family Medical Center P.C.
• Collierville Family Medicine PC

• Physical Therapist in Collierville, TN
• Providers in Collierville, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2019; 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.