Adam Clendenen, PT, DPT
Individual provider Active NPI Physical Therapist · Mount Vernon, IA
NPI 1821770918 · NPPES record last updated Aug 7, 2023
Key facts
- NPI
- 1821770918
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 120066 (IA)
- Practice address
- 300 Virgil Ave
Mount Vernon, IA 52314-9569 - Phone
- (319) 895-8655
- Fax
- (319) 895-8651
- NPI assigned
- Aug 7, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ability Physical Therapy PC
Practice addresses (Care Compare)
411 E Haganman LN
Unit D
Solon, IA 52333-9760
Phone (319) 624-1250
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230809003822 | IA | Practitioner - Physical Therapist in Private Practice | 3577925429 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 120066 | IA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ability Physical Therapy, P.C. | Physical Therapist | Current |
Accepting new patients |
Locations
4215 Lewis Access Rd
Ste 300
Center Point, IA 52213
Phone (319) 849-2062
999 44th St
Ste 10000
Marion, IA 52302
Phone (319) 373-7311
300 Virgil Ave
Ste C
Mount Vernon, IA 52314
Phone (319) 895-8655
300 Virgil Ave
Mount Vernon, IA 52314
Phone (319) 865-8655
411 Haganman Ln
Unit D
Solon, IA 52333
Phone (319) 624-1250
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 120066 | IA | Yes |
Addresses
Primary practice location
300 Virgil Ave
Mount Vernon, IA 52314-9569
Mailing address
300 Virgil Ave
Mount Vernon, IA 52314-9569
Phone (319) 895-8655
Other providers in Mount Vernon, IA
- Aurora Aesthetics and Functional Medicine Clinic, PLLC
- Thomas M. Barnes
- Ann Michelle Brase
- Erica Ann Buffington
- Ruth Clark
- Cornelius Chiropractic Centre, LTD.
- CR Pharmacy Service, Inc
- Madigan Jane Crowley
- Benjamin Harrison Daniels
- Dawn M. Gaffney, DDS, LLC
All providers in Mount Vernon, IA · Physical Therapist in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.