Active NPI
Jenna M. Tilley-Clements, DPT
- Physical Therapist
- Hinton, WV
National Provider Identifier
1346099298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 004416
- Practice address
- 115 Summers Hospital Rd
Hinton, WV 25951 - Phone
- (304) 466-2908
- NPI assigned
- May 14, 2024
- 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 | 004416 | WV | Primary |
Addresses
Primary practice location
115 Summers Hospital Rd
Hinton, WV 25951
Mailing address
115 Summers Hospital Rd
Hinton, WV 25951
Phone (304) 466-2908
Other names 1
- Jenna M. Clements
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004416 | WV | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715644800000",
"number": "1346099298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 SUMMERS HOSPITAL RD",
"city": "HINTON",
"state": "WV",
"postal_code": "25951",
"telephone_number": "304-466-2908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 SUMMERS HOSPITAL RD",
"city": "HINTON",
"state": "WV",
"postal_code": "25951",
"telephone_number": "304-466-2908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TILLEY-CLEMENTS",
"first_name": "JENNA",
"middle_name": "M.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-14",
"last_updated": "2024-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WV",
"license": "004416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNA",
"last_name": "CLEMENTS",
"middle_name": "M.",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Hinton, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.