Clarence Wilborn Tapley III, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT1029 Issued in MS

Practice address

1149 N Jackson St
Houston, MS 38851-8273

Phone

(662) 542-0491

NPI assigned

Sep 9, 2013

Last updated

Sep 9, 2013By the provider in NPPES

Sex

Male

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

Enrolled in MS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Houston Physical Therapy and Performance Center LLCGroup PAC ID 5597162297, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Houston Physical Therapy and Performance Center LLC

  • Physical Therapist
  • Houston, MS
  • NPI 1801566195
  Medicare reassignment Care Compare group NPD Authorized official
• Progressive Health of Houston, LLC

  dba Progressive Health Group of Houston

  • Rural Acute Care Hospital
  • Houston, MS
  • NPI 1639936396
  Medicare reassignment NPD

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

{
    "created_epoch": "1378684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378684800000",
    "number": "1376978361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1149 N JACKSON ST",
            "city": "HOUSTON",
            "state": "MS",
            "postal_code": "388518273",
            "telephone_number": "662-542-0491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1149 N JACKSON ST",
            "city": "HOUSTON",
            "state": "MS",
            "postal_code": "388518273",
            "telephone_number": "662-542-0491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAPLEY",
        "first_name": "CLARENCE",
        "middle_name": "WILBORN",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-09",
        "last_updated": "2013-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT1029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Health Corp. of Houston, Inc. (Trace Family Health & Internal Medicine)
• Southern Mobility Specialists Inc (Southern Mobility Specialists)
• Mary Alexandra Springer, NP
• Gladys Carla Staten
• Tamica N Stephens, PHARMD
• Whitney Tate, FNP-BC, PMHNP-BC
• The Potter's House Family Service Center
• Trend Health and Rehab of Houston, LLC
• Ozzie J Tumblin I, PTA
• Urgent and Family Care of Houston

• Physical Therapist in Houston, MS
• Providers in Houston, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; 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.