Brenda Sue Clements, DPT, MTC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT19943 Issued in FL

Practice address

1827 Harrison Ave
Building 4
Panama City, FL 32405-7605

Phone

(850) 872-7022

Fax

(850) 872-7021

NPI assigned

Oct 13, 2005

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Orthopedic Specialists PAGroup PAC ID 4082511001, 21 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

81.79 of 100Reported as group

Quality

64.42

Promoting interoperability

100

Improvement activities

40

Cost

74.88

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brenda.clements.1@9109.direct.athenahealth.com

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.

• Southern Orthopedic Specialists PA

  • Orthopaedic Surgery Physician
  • Panama City, FL
  • NPI 1407892938
  Medicare reassignment Care Compare group
• Orthopaedic Associates, PA

  • Orthopaedic Surgery Physician
  • Fort Walton Beach, FL
  • NPI 1467589010
  Medicare reassignment NPD
• Orthopaedic Associates PA

  • Orthopaedic Surgery Physician
  • Panama City, FL
  • NPI 1255001350
  NPD
• Bay Area Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Bradenton, FL
  • NPI 1871582742

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380067200000",
    "number": "1720077670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1827 HARRISON AVE",
            "address_2": "BUILDING 4",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324057605",
            "telephone_number": "850-872-7022",
            "fax_number": "850-872-7021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1827 HARRISON AVE",
            "address_2": "BUILDING 4",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324057605",
            "telephone_number": "850-872-7022",
            "fax_number": "850-872-7021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENTS",
        "first_name": "BRENDA",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "DPT, MTC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-13",
        "last_updated": "2013-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT19943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2288818",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "Y909J",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter B. Claussen, D.D.S.
• Tonya Michelle Claussen, APRN
• Tracy L Claveau, RN
• Bethany Clay
• Clearway Surgery Center of Panama City, LLC
• Jaiden Clenney
• Jensen Clifford
• Kayla Cline
• Cloud Peak Inpatient Services LLC
• Denise N Clubbs, LMHC, LMFT

• Physical Therapist in Panama City, FL
• Providers in Panama City, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; 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.