Chet E Clodfelter, P.T.
Individual provider Active NPI Physical Therapist · Greencastle, IN
NPI 1306911292 · NPPES record last updated Apr 20, 2017
Key facts
- NPI
- 1306911292
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 05002491A (IN)
- Practice address
- 1003 Mill Pond LN Ste C
Greencastle, IN 46135-2609 - Phone
- (765) 653-8494
- Fax
- (765) 653-7835
- NPI assigned
- Nov 24, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Athletico LTD
Practice addresses (Care Compare)
1155 S College Mall Rd
Suite a
Bloomington, IN 47401-6166
Phone (812) 558-3356
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.32 of 100
- Quality
- 84.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.78
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100120000270 | IN | Practitioner - Physical Therapist in Private Practice | 7416099098 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05002491A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Physical Therapist | Current |
Accepting new patients |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Athletico, LTD | Physical Therapist | Current |
Accepting new patients |
| Central Indiana Rehabilitative Services Inc | Physical Therapist | Past |
Accepting new patients |
Locations
625 Enterprise Dr
Oak Brook, IL 60523
Phone (630) 575-6250
600 Oakmont Ln
Ste 600C
Westmont, IL 60559
Phone (630) 575-6250
1155 S College Mall Rd
Ste A
Bloomington, IN 47401
Phone (812) 558-3356
3229 Broadway
Gary, IN 46409
Phone (219) 326-2324
1003 Mill Pond Dr
Ste C
Greencastle, IN 46135
Phone (765) 653-8494
1505 US Highway 41
Ste A20
Schererville, IN 46375
Phone (219) 322-5560
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05002491A | IN | Yes |
Addresses
Primary practice location
1003 Mill Pond LN Ste C
Greencastle, IN 46135-2609
Mailing address
625 Enterprise Dr
Oak Brook, IL 60523-8813
Phone (630) 575-1980
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100211050 | Medicaid | IN |
Other providers in Greencastle, IN
- Case Chiropractic, P.C.
- Isaac Hiram Case
- Ceciley Starkey Casselman
- Central Indiana Rehabilitative Services Inc
- Cathy J Clodfelter
- Leslie G Clodfelter
- Blake Collier
- Covered Bridge Chiropractic, LLC
- Craig Shouse DPM PC
- Sharon Anne Crum
All providers in Greencastle, IN · Physical Therapist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.