Active NPI
Janelle Colleen Clarkin, P.T., D.P.T.
- Physical Therapist
- Bradenton, FL
National Provider Identifier
1487809679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT24671
- Practice address
- 9020 Willowbrook Cir
Bradenton, FL 34212-6332 - Phone
- (315) 794-1742
- NPI assigned
- Dec 1, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | PT24671 | FL | Primary |
Addresses
Primary practice location
9020 Willowbrook Cir
Bradenton, FL 34212-6332
Mailing address
9020 Willowbrook Cir
Bradenton, FL 34212-6332
Phone (941) 405-9690
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003146127 | Other | FL | NPI |
| 001218700 | Medicaid | FL | |
| 001735200 | Medicaid | FL | |
| Y09RM | Other | FL | FLORIDA BLUE |
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 |
|---|---|---|---|
| PT24671 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little Steps Pediatric Therapy, Inc. | Pediatrics | Current | Accepting new patients |
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 and National Provider Directory roles.
-
- Pediatric Physical Therapist
- Bradenton, FL
- NPI 1003146127
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683504000000",
"number": "1487809679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9020 WILLOWBROOK CIR",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342126332",
"telephone_number": "941-405-9690",
"fax_number": "941-749-7610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9020 WILLOWBROOK CIR",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342126332",
"telephone_number": "315-794-1742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARKIN",
"first_name": "JANELLE",
"middle_name": "COLLEEN",
"credential": "P.T., D.P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-01",
"last_updated": "2023-05-08",
"certification_date": "2023-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT24671",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1003146127",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001218700",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001735200",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA BLUE",
"identifier": "Y09RM",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.