Active NPI
Carla Clement, DPT
- Physical Therapist
- Salem, NH
National Provider Identifier
1598835597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2443
- 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, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01151300 | NJ | MD | Specialist |
| 13109 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New 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 | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Physical Therapy Clinic/Center
- Lafayette, NJ
- NPI 1598386245
Physical Therapist
-
- Physical Therapy Clinic/Center
- Totowa, NJ
- NPI 1639261399
Physical Therapist
-
dba Suburban Therapy Center
- Physical Therapist
- Cedar Grove, NJ
- NPI 1376523605
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.