Active NPI
Jennifer Ann Clawson, PT CI CERT
- Physical Therapist
- Kittanning, PA
National Provider Identifier
1841333085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT017399
- Practice address
- 1 Nolte Dr
Kittanning, PA 16201-7111 - Phone
- (724) 543-8880
- Fax
- (724) 543-8788
- NPI assigned
- Feb 15, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT017399 | PA | Primary |
Addresses
Primary practice location
1 Nolte Dr
Kittanning, PA 16201-7111
Mailing address
PO Box 579
Kittanning, PA 16201-0579
Phone (724) 543-8164
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT017399 | Other | PA | PA STATE LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT017399 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841333085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 579",
"city": "KITTANNING",
"state": "PA",
"postal_code": "162010579",
"telephone_number": "724-543-8164",
"fax_number": "724-543-8616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 NOLTE DR",
"city": "KITTANNING",
"state": "PA",
"postal_code": "162017111",
"telephone_number": "724-543-8880",
"fax_number": "724-543-8788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAWSON",
"first_name": "JENNIFER",
"middle_name": "ANN",
"credential": "PT CI CERT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT017399",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA STATE LICENSE NUMBER",
"identifier": "PT017399",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kittanning, PA
Sources for this page
- 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.