Lisa Suzanne Clinton, M.S.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT20248 Issued in CA

Practice address

786 Loughborough Dr
Merced, CA 95348-2626

Phone

(209) 725-8680

Fax

(209) 725-2617

NPI assigned

Jul 12, 2006

Sex

Female

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 CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Yosemite Physical Therapy, Inc.Group PAC ID 9931204419, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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 and National Provider Directory roles.

• Yosemite Physical Therapy, Inc.

  • Physical Therapist
  • Merced, CA
  • NPI 1275565723
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609891829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "786 LOUGHBOROUGH DR",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953482626",
            "telephone_number": "209-725-8680",
            "fax_number": "209-725-2617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "786 LOUGHBOROUGH DR",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953482626",
            "telephone_number": "209-725-8680",
            "fax_number": "209-725-2617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINTON",
        "first_name": "LISA",
        "middle_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "M.S.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT20248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Clark, MD
• Dennis Eugene Clark, DDS
• Michael R. Clark, OTR/L
• Halle Clementi, PT
• Andrew Cline
• Sara Clinton, RN 684418
• Elizabeth Close
• Christina Wong Co, MD
• Stephanie Renee Cobos, RBT
• Barbara Coffelt, LVN

• Physical Therapist in Merced, CA
• Providers in Merced, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.