Michael Clevinger

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306601271 Issued in VA

Practice address

2001 Ridgewood Dr
Salem, VA 24153-7126

Phone

(540) 387-4945

NPI assigned

Jul 6, 2014

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1404604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404604800000",
    "number": "1902212475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 MEMORIAL AVE SW APT 93",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240151916",
            "telephone_number": "540-598-6960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 RIDGEWOOD DR",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537126",
            "telephone_number": "540-387-4945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEVINGER",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-06",
        "last_updated": "2014-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306601271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Dale Clarke, BT
• Destinee Monique Clay, RBT
• Conrad Allison Claytor, DPM
• Donna Celeste Clevenger
• Laura Elizabeth Clevinger, MSW, LCSW
• Kyle Clifford
• Rebecca Allison Cloudt, DDS
• Sierra Danielle Coartney
• Meghan Cochran
• Kathleen Roberts Cockrell

• Physical Therapy Assistant in Salem, VA
• Providers in Salem, VA by specialty
• Physical Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.