Cynthia Ann Clemens, O.T.

Primary specialty

SpecialistTaxonomy code 174400000X

License

OT00001124 Issued in WA

Practice address

13117 Sunridge Way E
Puyallup, WA 98374-4845

Phone

(253) 905-7635

NPI assigned

Jan 2, 2007

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1770640864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13117 SUNRIDGE WAY E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983744845",
            "telephone_number": "253-905-7635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13117 SUNRIDGE WAY E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983744845",
            "telephone_number": "253-905-7635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENS",
        "first_name": "CYNTHIA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "O.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "OT00001124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7682511",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "4697CL",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua David Clarke, PT
• Megan Clarno, PAC
• Heidi A Clay, MD
• Nicholas Clayville, PHARMD
• Linda C Clemenger, BA
• Amy Louise Cleveland
• Jonas Cline
• Kaela Shea Cline, OTR/L
• Deandra Cloy, MSW, LSWAIC
• CMH Group P.C.

• Specialist in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.