Mark Daniel Cleven, PT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00003333 Issued in WA

Practice address

588 SE Bishop Blvd Ste a
Pullman, WA 99163-5534

Phone

(509) 332-7778

Fax

(509) 332-7032

NPI assigned

Aug 28, 2006

Last updated

Feb 25, 2008By the provider in NPPES

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

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203897600000",
    "number": "1740398841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "588 SE BISHOP BLVD STE A",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635534",
            "telephone_number": "509-332-7778",
            "fax_number": "509-332-7032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "588 SE BISHOP BLVD STE A",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635534",
            "telephone_number": "509-332-7778",
            "fax_number": "509-332-7032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEVEN",
        "first_name": "MARK",
        "middle_name": "DANIEL",
        "credential": "PT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2008-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00003333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRY",
            "identifier": "119067",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Karmun Chu, D.D.S
• City of Pullman
• Katelyn Claassen
• Stefanie Clark, LMT
• Nicole Clements, ATC, LAT
• Cheyenne Cochran
• Justin Cochrane, D.O
• Michael Francis Coco, ATC, PTA
• Sue Y Cole, PA-C
• Dejah Coleman

• Physical Therapist in Pullman, WA
• Providers in Pullman, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; 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.