NPIMap

Organization Active NPI

Clemons Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Cumming, GA
National Provider Identifier
1265803118
Registry record updated Oct 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT009211 Issued in GA
Legal business name
CLEMONS PHYSICAL THERAPY, LLC
Practice address
4620 Poco CT
Cumming, GA 30040-0458
Phone
(614) 353-7681
NPI assigned
Oct 16, 2015
Last updated
Oct 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2015

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

Authorized official

Name
Laura Clemons, D.P.TNPI 1285823989
Title
Sole Owner/Physical Therapist
Phone
(614) 353-7681

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT009211 GA Primary

Addresses

Primary practice location

4620 Poco CT
Cumming, GA 30040-0458

Mailing address

4620 Poco CT
Cumming, GA 30040-0458

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1444953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444953600000",
    "number": "1265803118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4620 POCO CT",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300400458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 POCO CT",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300400458",
            "telephone_number": "614-353-7681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEMONS PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-16",
        "last_updated": "2015-10-16",
        "status": "A",
        "authorized_official_last_name": "CLEMONS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "SOLE OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "614-353-7681",
        "authorized_official_credential": "D.P.T"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "GA",
            "license": "PT009211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; 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.