Individual provider Active NPI

Nari Kaur Clemons, PT

  • Physical Therapist
  • Portland, OR
National Provider Identifier
1306006291
Registry record updated Jun 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
61957 Issued in OR
Practice address
560 NW 87TH Ter
Portland, OR 97229-6419
Phone
(971) 284-2062
Fax
(888) 447-0339
NPI assigned
Jun 13, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2020

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 61957 OR Primary

Addresses

Primary practice location

560 NW 87TH Ter
Portland, OR 97229-6419

Mailing address

560 NW 87TH Ter
Portland, OR 97229-6419
Phone (971) 284-2062

Other practice location 1

9640 Commerce Dr
Suite 410
Carmel, IN 46032-7638
Phone (317) 735-2479

Other names 1

  • Mrs. Narinder Kaur Clemons Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61957ORMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1306006291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 NW 87TH TER",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972296419",
            "telephone_number": "971-284-2062",
            "fax_number": "888-447-0339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 NW 87TH TER",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972296419",
            "telephone_number": "971-284-2062",
            "fax_number": "888-447-0339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9640 Commerce Dr",
            "address_2": "Suite 410",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "460327638",
            "country_code": "US",
            "telephone_number": "317-735-2479",
            "fax_number": "317-663-0799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEMONS",
        "first_name": "NARI",
        "middle_name": "KAUR",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-13",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "61957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NARINDER",
            "last_name": "CLEMONS",
            "middle_name": "KAUR",
            "prefix": "MRS.",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.