Individual provider Active NPI

Carla Clement, DPT

  • Physical Therapist
  • Salem, NH
National Provider Identifier
1598835597
Registry record updated Oct 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2443 Issued in NH
Practice address
70 Butler Street
Salem, NH 03079-3974
Phone
(603) 893-2900
Fax
(603) 893-1628
NPI assigned
Nov 8, 2006
Last updated
Oct 12, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 40QA01151300 NJ
Physical Therapist 225100000X 2443 NH Primary
Physical Therapist 225100000X 13109 MA

Addresses

Primary practice location

70 Butler Street
Salem, NH 03079-3974

Mailing address

70 Butler Street
Salem, NH 03079-3974
Phone (603) 893-2900

Other names 1

  • Carla Hachem Rizkallah Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01151300NJMDSpecialist
13109MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peter Barnett & Howard J Phillips Physical Therapist Past Accepting new patients
Damon Physical Therapy Physical Therapist Past Accepting new patients
Performance Rehabilitation, PC Physical Therapist PastSince Aug 14, 2003 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444608000000",
    "number": "1598835597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 BUTLER STREET",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030793974",
            "telephone_number": "603-893-2900",
            "fax_number": "603-893-1628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 BUTLER STREET",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030793974",
            "telephone_number": "603-893-2900",
            "fax_number": "603-893-1628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENT",
        "first_name": "CARLA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2015-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "40QA01151300",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "2443",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "13109",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLA",
            "last_name": "RIZKALLAH",
            "middle_name": "HACHEM",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salem, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.