Individual provider Active NPI

Taylor Grace Clemmer, PT, DPT

  • Physical Therapist
  • Pensacola, FL
National Provider Identifier
1417670274
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT39758 Issued in FL
Practice address
7030 Pine Forest Rd
Pensacola, FL 32526-3920
Phone
(850) 944-5360
NPI assigned
Sep 26, 2022
Last updated
Sep 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1386852 TX
Physical Therapist 225100000X PT39758 FL Primary

Addresses

Primary practice location

7030 Pine Forest Rd
Pensacola, FL 32526-3920

Mailing address

5465 Route 309
Center Valley, PA 18034-9601
Phone (484) 264-6696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WA, CT3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240605004132 PA Practitioner - Physical Therapist in Private Practice 1153797857 Reassigns benefits to 1 organization
I20250225003193 WA Practitioner - Physical Therapist in Private Practice 1153797857 Reassigns benefits to 1 organization
I20260512002803 CT Practitioner - Physical Therapist in Private Practice 1153797857 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians
Anb-Ptsma Holdings IncGroup PAC ID 4789572926, 190 clinicians

Practice addresses (Care Compare)

7727 40TH St W
Suite a
University Place, WA 98466-3146
Phone (253) 460-1362

84 Wolcott Hill Rd
Wethersfield, CT 06109-1243
Phone (860) 781-7264

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT39758FLMDPhysical Therapist
1386852TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy Institute LLC Physical Therapist CurrentSince Apr 30, 2024 Accepting new patients
Multicare Health System CurrentSince Feb 13, 2025 Accepting new patients
Multicare Health System CurrentSince Feb 13, 2025 Accepting new patients
Multicare Health System Current Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist Current Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist CurrentSince Apr 30, 2024 Accepting new patients
Dallas Nephrology Associates PastSince Jan 1, 2024 Accepting new patients
Rehabclinics SPT Inc Physical Therapist PastSince Sep 29, 2024 Accepting new patients
Life Fitness Physical Therapy LLC Physical Therapist Past Accepting new patients
Life Fitness Physical Therapy LLC Physical Therapist Past Accepting new patients
Bir JV LLP PastSince Jan 1, 2024 Accepting new patients
Gulf Breeze Physical Therapy Inc. Physical Therapist PastSince Sep 29, 2024 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

202 Westminster Dr
Ste A
Carlisle, PA 17013
Phone (717) 906-5001

3 Jennifer Ct
Ste A
Carlisle, PA 17015
Phone (717) 243-0271

120 N Baltimore St
#110
Dillsburg, PA 17019
Phone (717) 501-3100

192 Newberry Pkwy
Etters, PA 17319
Phone (717) 212-2470

165 Glen Dr
Ste 8
Manchester, PA 17345
Phone (717) 978-5944

5108 E Trindle Rd
Ste 200
Mechanicsburg, PA 17050
Phone (717) 790-9920

781 Far Hills Dr
Ste 400
New Freedom, PA 17349
Phone (717) 235-9890

492 N Main St
Red Lion, PA 17356
Phone (717) 417-5606

2030 Thistle Hill Dr
Ste 204
Spring Grove, PA 17362
Phone (717) 796-1650

1805 Loucks Rd
Ste 200
York, PA 17408
Phone (717) 764-0144

2556 Eastern Blvd
Ste 15
York, PA 17402
Phone (717) 900-1743

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

7727 40th St W
Ste A
University Place, WA 98466
Phone (253) 460-1362

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://epicproxy.et1041.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1417670274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5465 ROUTE 309",
            "city": "CENTER VALLEY",
            "state": "PA",
            "postal_code": "180349601",
            "telephone_number": "484-264-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7030 PINE FOREST RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325263920",
            "telephone_number": "850-944-5360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMMER",
        "first_name": "TAYLOR",
        "middle_name": "GRACE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1386852",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT39758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; 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.