Active NPI
Clinton Bruce Allen, M.S.P.T.
- Physical Therapist
- Corning, IA
National Provider Identifier
1659405348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 02288
- Practice address
- 603 Rosary Dr
Corning, IA 50841-1683 - Phone
- (641) 322-4494
- NPI assigned
- Mar 15, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 02288 | IA | Primary |
Addresses
Primary practice location
603 Rosary Dr
Corning, IA 50841-1683
Mailing address
1306 Loomis Ave
Corning, IA 50841
Phone (641) 322-6282
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02288 | IA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659405348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1306 LOOMIS AVE",
"city": "CORNING",
"state": "IA",
"postal_code": "50841",
"telephone_number": "641-322-6282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 ROSARY DR",
"city": "CORNING",
"state": "IA",
"postal_code": "508411683",
"telephone_number": "641-322-4494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "CLINTON",
"middle_name": "BRUCE",
"credential": "M.S.P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "02288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corning, IA
- Alegent Health - Mercy Hospital, Corning, Iowa
- Alegent Health Bergan Mercy Health System
- Alegent Health Mercy Hospital Corning, Iowa
- Alegent Health Mercy Hospital, Corning Ia
- Alegent Health Mercy Hospital, Corning, Iowa
- Caroline M. Amao, MD
- Samuel Ray Arentson, DPT
- Aspire Behavioral Health Services LLC
- Jennifer Behlers, PTA, LMT
- Glenna Brandt
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.