Matthew W Clemson, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8292 Issued in TN

Practice address

11201 W Point Dr
Ste 104
Farragut, TN 37934-2833

Phone

(865) 777-1080

Fax

(865) 777-1085

NPI assigned

Jan 13, 2011

Last updated

Jan 13, 2011By 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 TN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Further Physiotherapy LLCGroup PAC ID 4688025315, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Further Physiotherapy, LLC

  • Physical Therapist
  • Bristol, TN
  • NPI 1730861931
  Medicare reassignment Care Compare group NPD
• Facilitated Fitness LLC

  • Physical Therapist
  • Johnson City, TN
  • NPI 1891540613
  NPD Authorized official
• Agilitas USA Inc

  dba Results Physiotherapy

  • Physical Therapy Clinic/Center
  • Hixson, TN
  • NPI 1962417444

  Physical Therapist

  NPD (past)
• PT Solutions LLC

  dba PT Solutions of Farragut

  • Physical Therapist
  • Farragut, TN
  • NPI 1275908626
  NPD (past)
• Coastal Clemson Enterprise LLC

  • Physical Therapist
  • Moncks Corner, SC
  • NPI 1144934266
  NPD (past)

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

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294876800000",
    "number": "1407151004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 MALLORY LN",
            "address_2": "STE 201",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370678233",
            "telephone_number": "615-373-1350",
            "fax_number": "615-373-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11201 W POINT DR",
            "address_2": "STE 104",
            "city": "FARRAGUT",
            "state": "TN",
            "postal_code": "379342833",
            "telephone_number": "865-777-1080",
            "fax_number": "865-777-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMSON",
        "first_name": "MATTHEW",
        "middle_name": "W",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-13",
        "last_updated": "2011-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "8292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Marie Campbell, FNP-BC
• James Carter, RPH
• Sharon Cathers, NP-C
• Jiaqi Chen
• Ivy Clark, PHARMD
• Confident Smiles & Implants
• Scott M Coryell
• Costco Wholesale Corporation (Costco Hearing Aid #1116)
• Costco Wholesale Corporation
• Costco Wholesale Corporation (Costco Optical #1116)

• Physical Therapist in Farragut, TN
• Providers in Farragut, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; 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.