Clinton T Khoury, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT37264 Issued in FL

Practice address

3030 Executive Drive
Venice, FL 34292

Phone

(941) 485-1505

NPI assigned

Aug 23, 2017

Sex

Male

Sole proprietor

No

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 FL

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.

• Suncoast Orthopaedic Surgery & Sports Medicine, P.a.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Venice, FL
  • NPI 1982638730
  Medicare reassignment NPD
• Venice Rehab, LLC

  • Physical Therapy Clinic/Center
  • Venice, FL
  • NPI 1447251947

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1861919623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 EXECUTIVE DRIVE",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "34292",
            "telephone_number": "941-485-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 EXECUTIVE DRIVE",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "34292",
            "telephone_number": "941-485-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOURY",
        "first_name": "CLINTON",
        "middle_name": "T",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-23",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT37264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elena U Kesterson, PA
• Azima Tariq Khan, MD
• Jaffer J Khan, MD
• Tariq J Khan, MD
• Nilofer A. Khatri, D.M.D.
• Ki Hassler, DO, LLC
• Scott J Killam, PT
• Kim Riley Nutrition LLC
• Ji Kim, RPH
• Joshua W Kim, MD

• Physical Therapist in Venice, FL
• Providers in Venice, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.