Active NPI
Clarke Andrew Philips, PT, MHS
- Physical Therapist
- Cape Coral, FL
National Provider Identifier
1871794537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2668
- Practice address
- 216 Santa Barbara Blvd
Cape Coral, FL 33991-2031 - Phone
- (239) 242-0549
- Fax
- (239) 242-0549
- NPI assigned
- May 30, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 | 2668 | SC | Primary |
Addresses
Primary practice location
216 Santa Barbara Blvd
Cape Coral, FL 33991-2031
Mailing address
1312 SE 36TH Ter
Cape Coral, SC 33904
Phone (864) 232-6957
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2668 | Other | SC | SC PT LICENSE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871794537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1312 SE 36TH TER",
"city": "CAPE CORAL",
"state": "SC",
"postal_code": "33904",
"telephone_number": "864-232-6957",
"fax_number": "864-232-6957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 SANTA BARBARA BLVD",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339912031",
"telephone_number": "239-242-0549",
"fax_number": "239-242-0549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILIPS",
"first_name": "CLARKE",
"middle_name": "ANDREW",
"name_prefix": "Mr.",
"credential": "PT, MHS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "2668",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SC PT LICENSE",
"identifier": "2668",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cape Coral, FL
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.