Active NPI
Laura Anne Clemons, D.P.T
- Physical Therapist
- Cumming, GA
National Provider Identifier
1285823989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT009211
- Practice address
- 4620 Poco CT
Cumming, GA 30040-0458 - Phone
- (614) 353-7681
- NPI assigned
- Oct 18, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT009211 | GA | Primary |
Addresses
Primary practice location
4620 Poco CT
Cumming, GA 30040-0458
Mailing address
4620 Poco CT
Cumming, GA 30040-0458
Phone (614) 353-7681
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
201 Aquatic Cir
Cumming, GA 30040-3520
Phone (404) 351-5307
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Sundance Rehabilitation Agency, LLC | Past | Accepting new patients | |
| Life Clinic of Ga PC | Physical Therapist | Past | Accepting new patients |
| Activcore Health Network LLC | Physical Therapist | Past | Accepting new patients |
Locations
855 North Point Pkwy
Alpharetta, GA 30005
Phone (952) 401-2336
2221 Peachtree Rd NE
Ste D336
Atlanta, GA 30309
201 Aquatic Cir
Cumming, GA 30040
Organizations & group practices 4
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.
-
- Physical Therapist
- Atlanta, GA
- NPI 1326247248
-
- Rehabilitation Clinic/Center
- Johns Creek, GA
- NPI 1760437743
-
- Physical Therapy Clinic/Center
- Princeton, NJ
- NPI 1659784767
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295827200000",
"number": "1285823989",
"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",
"telephone_number": "614-353-7681"
},
{
"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": {
"last_name": "CLEMONS",
"first_name": "LAURA",
"middle_name": "ANNE",
"credential": "D.P.T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-18",
"last_updated": "2011-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"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 Jan 24, 2011; 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.