Clarence Ymbong, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1338864 Issued in TX

Practice address

3211 Hancock Dr
Austin, TX 78731-5427

Phone

(512) 533-9313

Fax

(512) 533-9317

NPI assigned

Nov 11, 2020

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Ctoa LLC.

  • Speech-Language Pathologist
  • Austin, TX
  • NPI 1851304802
  NPD (past)

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1295337517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3211 HANCOCK DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787315427",
            "telephone_number": "512-533-9313",
            "fax_number": "512-533-9317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3211 HANCOCK DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787315427",
            "telephone_number": "512-533-9313",
            "fax_number": "512-533-9317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YMBONG",
        "first_name": "CLARENCE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-11",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1338864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Y Yip
• Michael J Yium, M.D.
• Vanessa Jones Yium, MD
• Yiwei Gao Dental, PLLC
• Valeria Yllades
• Megan Nicole Yockey, FNP-C
• Yoga Jena Wellness LLC
• Eric Yohe, PT, DPT, OCS
• Brenda L Yohn, RD, LDN
• Trisha Yokoi

• Physical Therapist in Austin, TX
• Providers in Austin, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; 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.