Carolyn Clyons, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

044455 Issued in NY

Practice address

101 W 116TH St
New York, NY 10026-2521

Phone

(212) 787-8315

NPI assigned

Aug 26, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Sarah Jane Brain Foundation

  • Speech-Language Pathologist
  • New York, NY
  • NPI 1952774457
  NPD (past)

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1659928471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 HILLTOP CIR",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066115103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W 116TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100262521",
            "telephone_number": "212-787-8315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLYONS",
        "first_name": "CAROLYN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-26",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "044455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clyde Chemists LTD
• Noah Benjamin Clyman, LCSW, ACT
• Jordan Clynch
• Neville Clynes, M.D.
• Raphael Clynes, M.D.
• CM & P Pharmacy, Inc.
• CM & P Pharmacy, Inc.
• CM Medical PC
• Cmatsi Early Intervention LLC
• CMC Medical PC

• Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; 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.