Individual provider Active NPI

Cara Marie Clinton, PT, DPT

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1861748600
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
37569 Issued in CA
Practice address
3959 Ruffin Rd Ste J
San Diego, CA 92123-1830
Phone
(858) 279-5570
Fax
(858) 279-5303
NPI assigned
Jul 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 37569 CA Primary

Addresses

Primary practice location

3959 Ruffin Rd Ste J
San Diego, CA 92123-1830

Mailing address

1321 N Northwood Center CT
Ste B
Coeur D Alene, ID 83814-4944
Phone (858) 279-5570

Other names 1

  • Cara Marie Lovell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180329000897 ID Practitioner - Physical Therapist in Private Practice 4789946245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inspire Physical Therapy Idaho Inc PSGroup PAC ID 3870855331, 4 clinicians

Practice addresses (Care Compare)

1321 N Northwood Ctr CT
Suite B
Coeur D Alene, ID 83814-4944
Phone (208) 665-7055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37569CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Inspire Physical Therapy Idaho Inc PS Physical Therapist CurrentSince Sep 27, 2017 Accepting new patients

Locations

1321 N Northwood Center Ct
Ste B
Coeur D Alene, ID 83814
Phone (208) 665-7055

100 Dennis St SW
Ste B
Tumwater, WA 98501
Phone (360) 338-0181

100 Dennis St SW
Tumwater, WA 98501

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1861748600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 N NORTHWOOD CENTER CT",
            "address_2": "STE B",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144944",
            "telephone_number": "858-279-5570",
            "fax_number": "858-279-5303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3959 RUFFIN RD STE J",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231830",
            "telephone_number": "858-279-5570",
            "fax_number": "858-279-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINTON",
        "first_name": "CARA",
        "middle_name": "MARIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-30",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "37569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARA",
            "last_name": "LOVELL",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.