Clyde Neal Lipke, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00384700 Issued in NJ

Practice address

1121 Route 47 S
Rio Grande, NJ 08242-1600

Phone

(609) 886-1551

Fax

(609) 886-5608

NPI assigned

Aug 15, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Atlantic Cape Rehab Associates Inc

  • Physical Therapy Clinic/Center
  • Rio Grande, NJ
  • NPI 1285745018
  NPD (past) Authorized official

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841203304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 S SUNSET DR",
            "city": "WOODBINE",
            "state": "NJ",
            "postal_code": "082709642",
            "telephone_number": "609-886-1551",
            "fax_number": "609-886-5608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 ROUTE 47 S",
            "city": "RIO GRANDE",
            "state": "NJ",
            "postal_code": "082421600",
            "telephone_number": "609-886-1551",
            "fax_number": "609-886-5608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPKE",
        "first_name": "CLYDE",
        "middle_name": "NEAL",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00384700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Kerper, O.D.
• Robert Kovarik, DC
• Meghan L Kozlowski, DPT
• Vincent Leszczynski, LSW
• Van Lieu
• Kaitlyn Elizabeth Long, LSW
• Johnny Love Sr., CADC
• Heather Ludwikowski, RPH
• Luxottica of America Inc (Pearle Vision #C6865)
• Caroline Magnual, APN-C

• Physical Therapist in Rio Grande, NJ
• Providers in Rio Grande, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.