Trina Tandrea Clemons, MOT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

05639 Issued in MD

Practice address

8105 Timberbrooke Rd
Baltimore, MD 21237-3350

Phone

(410) 258-0497

NPI assigned

Mar 1, 2021

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

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Synergy Care Southeast, LLC

  • Physical Therapist
  • Lake Charles, LA
  • NPI 1427466614

  Occupational Therapist, TX

  Medicare reassignment NPD

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

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1831784909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8105 TIMBERBROOKE RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212373350",
            "telephone_number": "410-258-0497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8105 TIMBERBROOKE RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212373350",
            "telephone_number": "410-258-0497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMONS",
        "first_name": "TRINA",
        "middle_name": "TANDREA",
        "credential": "MOT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-01",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "05639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kate Elizabeth Clemmer, LCSW-C
• Jacquelyn Kathleen Clemmons
• Chardenae Clemone
• Katrina L. Clemons, LCSW-C
• Lundyn Clemons
• Laura Clerie
• Andrew M Clerman, M.D.
• Katherine Cleveland, O.T.
• Tamekia Clevenger
• Sarah Lou Clever, M.D.

• Occupational Therapist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Occupational Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.