Active NPI
Michelle Beth Clawson-Stokes, PT
- Physical Therapist
- Plymouth, MN
National Provider Identifier
1679282495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6389
- Practice address
- 14585 59TH Ave N
Plymouth, MN 55446-3872 - Phone
- (763) 519-1350
- NPI assigned
- Nov 21, 2022
- Sex
- Female
- 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 | 6389 | MN | Primary |
Addresses
Primary practice location
14585 59TH Ave N
Plymouth, MN 55446-3872
Mailing address
PO Box 12
Dayton, MN 55327-0012
Phone (763) 213-7725
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668988800000",
"number": "1679282495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12",
"city": "DAYTON",
"state": "MN",
"postal_code": "553270012",
"telephone_number": "763-213-7725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14585 59TH AVE N",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554463872",
"telephone_number": "763-519-1350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAWSON-STOKES",
"first_name": "MICHELLE",
"middle_name": "BETH",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-21",
"last_updated": "2022-11-21",
"certification_date": "2022-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "6389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.