Clemens Physical Therapy PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

001091 Issued in WV

Legal business name

CLEMENS PHYSICAL THERAPY PLLC

Practice address

302 W Main St
Bridgeport, WV 26330-1751

Phone

(304) 842-6008

Fax

(304) 842-0060

NPI assigned

Nov 30, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Marnie Clemens, PT,DPTNPI 1588666549

Title

Owner

Phone

(304) 842-6008

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marnie Clemens, DPT

  • Specialist
  • Bridgeport, WV
  • NPI 1588666549
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912074170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 W MAIN ST",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301751",
            "telephone_number": "304-842-6008",
            "fax_number": "304-842-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W MAIN ST",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301751",
            "telephone_number": "304-842-6008",
            "fax_number": "304-842-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEMENS PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLEMENS",
        "authorized_official_first_name": "MARNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-842-6008",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT,DPT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WV",
            "license": "001091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0157976001",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clarksburg Cardiology Consultants
• Clarksburg Cardiovascular PLLC
• Clarksburg ENT - Uha
• Clarksburg Surgical Specialists
• Lauren Hope Clarkson, MOT
• Clemens Physical Therapy Services Inc.
• Marnie Clemens, DPT
• Patrick J Cobb, DDS
• Amber Kayla Cochran, FNP-BC
• Haylee Cochran

• Specialist in Bridgeport, WV
• Providers in Bridgeport, WV by specialty
• Specialist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.