Individual provider Active NPI

Daniel Clement, PT

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1285034827
Registry record updated Aug 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
41523 Issued in CA
Practice address
16766 Bernardo Center Dr Ste 112
San Diego, CA 92128-2501
Phone
(858) 675-0007
NPI assigned
Sep 2, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 41523 CA Primary

Addresses

Primary practice location

16766 Bernardo Center Dr Ste 112
San Diego, CA 92128-2501

Mailing address

16766 Bernardo Center Dr Ste 112
San Diego, CA 92128-2501
Phone (858) 675-0007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141209002646 CA Practitioner - Physical Therapist in Private Practice 3971825522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16766 Bernardo Ctr Dr
Suite 112
San Diego, CA 92128-2501
Phone (858) 675-0007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41523CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Clement Physical Therapy, Inc. Physical Therapist CurrentSince Jul 9, 2020 Accepting new patients
Walia Chiropractic, Inc PastSince Aug 24, 2014 Accepting new patients

Locations

16766 Bernardo Center Dr
Ste 112
San Diego, CA 92128
Phone (858) 248-6115

16769 Bernardo Center Dr
Ste 21
San Diego, CA 92128
Phone (858) 433-5588

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725062400000",
    "number": "1285034827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16766 BERNARDO CENTER DR STE 112",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282501",
            "telephone_number": "858-675-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16766 BERNARDO CENTER DR STE 112",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282501",
            "telephone_number": "858-675-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENT",
        "first_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-02",
        "last_updated": "2024-08-31",
        "certification_date": "2024-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "41523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2024; 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.