Individual provider Active NPI

Clara Louise Martin Backus

  • Geriatric Physical Therapist
  • Chapel Hill, NC
National Provider Identifier
1336599844
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
P16519 Issued in NC
Practice address
11312 US 15 501 N Ste 403
Chapel Hill, NC 27517
Phone
(919) 619-2461
NPI assigned
Jun 15, 2016
Last updated
Dec 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X P16519 NC Primary

Addresses

Primary practice location

11312 US 15 501 N Ste 403
Chapel Hill, NC 27517

Mailing address

904 Tallyho TRL
Chapel Hill, NC 27516-9018
Phone (919) 619-2461

Other names 1

  • Clara Louise Martin Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221215000920 NC Practitioner - Physical Therapist in Private Practice 8820467772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reynolds and Associates Physical Therapy IncGroup PAC ID 3072528470, 8 clinicians

Practice addresses (Care Compare)

11312 US 15
Suite 403
Chapel Hill, NC 27517-6377
Phone (919) 933-1110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Reynolds & Associates Physical Therapy, Inc. Physical Therapist CurrentSince Oct 10, 2022 Accepting new patients

Locations

11312 US 15 501 N
Ste 403
Chapel Hill, NC 27517
Phone (919) 933-1110

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1336599844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 TALLYHO TRL",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275169018",
            "telephone_number": "919-619-2461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11312 US 15 501 N STE 403",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "27517",
            "telephone_number": "919-619-2461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACKUS",
        "first_name": "CLARA",
        "middle_name": "LOUISE MARTIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-15",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NC",
            "license": "P16519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLARA",
            "last_name": "MARTIN",
            "middle_name": "LOUISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; 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.