Cody Bret Clarkston, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01316500 Issued in NJ

Practice address

381 State RT 23
Pompton Plains, NJ 07444-1812

Phone

(973) 885-3893

Fax

(201) 581-0218

NPI assigned

Oct 29, 2010

Last updated

Nov 6, 2018By 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

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clarkston Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Franklin Lakes, NJ
  • NPI 1134774268
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1288310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541462400000",
    "number": "1851691489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 PRINCETON TER",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "074363507",
            "telephone_number": "973-885-3893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 STATE RT 23",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074441812",
            "telephone_number": "973-885-3893",
            "fax_number": "201-581-0218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 PRINCETON TER",
            "address_purpose": "LOCATION",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "074363507",
            "country_code": "US",
            "telephone_number": "973-885-3893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARKSTON",
        "first_name": "CODY",
        "middle_name": "BRET",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-29",
        "last_updated": "2018-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01316500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chilton Sports Medicine & Rehabilitation Management Inc. (Chilton Sports Medicine & Rehabilitation)
• Chiropractic Healing Center of NJ
• Moira Katherine Christoudias, M.D.
• Jacob H Chung, MD
• Marc J Cirello
• Nicole Clothier, BSN, MSN, CRNA
• Danielle Colombo, RD
• Pedro Javier Colon Ortiz, MD
• Community Options, Inc
• Community Options, Inc

• Physical Therapist in Pompton Plains, NJ
• Providers in Pompton Plains, 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 Nov 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.