Derek J. Clewley, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6739 Issued in TN

Practice address

860 Johnson Ferry Rd NE
Suite 100
Atlanta, GA 30342-1435

Phone

(404) 252-5545

Fax

(404) 252-5511

NPI assigned

May 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Therapy Center Inc

  • Physical Therapist
  • Knoxville, TN
  • NPI 1336199033
  NPD (past)

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290038400000",
    "number": "1649220203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8823 PRODUCTION LN",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373636511",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 JOHNSON FERRY RD NE",
            "address_2": "SUITE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421435",
            "telephone_number": "404-252-5545",
            "fax_number": "404-252-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEWLEY",
        "first_name": "DEREK",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2010-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "6739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3653045",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Quianna Cleveland, OTR
• Shondra Cleveland, OT
• William H Cleveland II, M.D.
• Carolyn Kay Clevenger, N.P.
• Christine Danielle Clevenger, PAAA
• Jessica Leonor Cliatt, WHNP-BC
• Sarah Cliburn
• Cliff Valley Psychologists, P.a.
• Copelyn Clifford, DPT
• Matthew Clifton, MD

• Physical Therapist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; 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.