Nathan Andrew Clemson

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

CP025743T Issued in VA

Practice address

295 Bristol East Rd
Bristol, VA 24202-5532

Phone

(276) 591-5484

NPI assigned

Dec 10, 2012

Last updated

Oct 31, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, SC, VA, DC4 enrollments

Enrollment records 4

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Further Physiotherapy LLCGroup PAC ID 4688025315, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1516/brand/1/csg/1/fhir/r4
• Direct secure messaging: nclemson416908@balladhealth.medalliesdirect.net

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.

• Further Physiotherapy, LLC

  • Physical Therapist
  • Bristol, TN
  • NPI 1730861931
  Medicare reassignment Care Compare group NPD
• Empowerme Rehabilitation, LLC

  • Multi-Specialty Clinic/Center
  • Williamsburg, VA
  • NPI 1881366730

  DC, Physical Therapist

  Medicare reassignment NPD
• Benchmark Healthcare Services, LLC

  • Physical Therapist
  • Ooltewah, TN
  • NPI 1811213341

  SC

  Medicare reassignment NPD
• RSFH - Ati Physical Therapy, LLC

  • Physical Therapist
  • Charleston, SC
  • NPI 1912378365
  Medicare reassignment NPD
• South Carolina Sports Medicine & Orthopaedic Center

  • Sports Medicine (Orthopaedic Surgery) Physician
  • N Charleston, SC
  • NPI 1922111715
  Medicare reassignment NPD
• Function Better Therapy Services

  • Physical Therapy Clinic/Center
  • Bristol, VA
  • NPI 1790881415

  Physical Therapist

  NPD
• Benchmark Health Services

  • Physical Therapist
  • Easley, SC
  • NPI 1457842643
  NPD
• RSFH - Ati Physical Therapy, LLC

  dba Ati Physical Therapy

  • Durable Medical Equipment & Medical Supplies
  • North Charleston, SC
  • NPI 1689405664

  Physical Therapist

  NPD
• Wellmont Health System

  • General Acute Care Hospital
  • Kingsport, TN
  • NPI 1760405849
  NPD
• WPS Providers Inc

  • General Practice Physician
  • Kingsport, TN
  • NPI 1003904095
  NPD
• PT Solutions LLC

  dba PT Solutions of Farragut

  • Physical Therapist
  • Farragut, TN
  • NPI 1275908626
  NPD (past)

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

{
    "created_epoch": "1355097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1639414196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W OAKLAND AVE STE 310",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042192",
            "telephone_number": "423-302-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 BRISTOL EAST RD",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242025532",
            "telephone_number": "276-591-5484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "444 Clinchfield St",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376603606",
            "country_code": "US",
            "telephone_number": "423-343-7570",
            "fax_number": "615-221-9054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEMSON",
        "first_name": "NATHAN",
        "middle_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-10",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "9485",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "CP025743T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Chisler, MS CCCSLP
• Amy Renae Chisom
• City of Bristol VA (Bristol Virginia Fire Department)
• Ashley Clark, COTA/L
• Erika Renea Clark
• Hannah Cockerham
• Miranda Cole
• Tonya Renee Coleman, MS CCC SLP
• Stephanie Leann Collins, BC-HIS
• Commonwealth of Virginia State Board of Health (Bristol City Health Department)

• Physical Therapist in Bristol, VA
• Providers in Bristol, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.