Organization Active NPI

Clear Passage Therapies

  • Physical Therapist
  • Gainesville, FL
National Provider Identifier
1912110362
Registry record updated May 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CLEAR PASSAGE THERAPIES
Practice address
4421 NW 39TH Avenue
Ste 2-2
Gainesville, FL 32606
Phone
(352) 336-1433
Fax
(352) 336-9980
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2019

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

Authorized official

Name
Tracy Wagner
Title
Administrator
Phone
(352) 336-1433

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X

Addresses

Primary practice location

4421 NW 39TH Avenue
Ste 2-2
Gainesville, FL 32606

Mailing address

4421 NW 39TH Avenue
Ste 2-2
Gainesville, FL 32606
Phone (352) 336-1433

National Provider Directory

National Provider Directory

Locations

4421 NW 39th Ave
Ste 2-2
Gainesville, FL 32606
Phone (352) 336-1433

3600 NW 43rd St
Gainesville, FL 32606
Phone (352) 336-1433

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558310400000",
    "number": "1912110362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4421 NW 39TH AVENUE",
            "address_2": "STE 2-2",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32606",
            "telephone_number": "352-336-1433",
            "fax_number": "352-336-9980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4421 NW 39TH AVENUE",
            "address_2": "STE 2-2",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32606",
            "telephone_number": "352-336-1433",
            "fax_number": "352-336-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR PASSAGE THERAPIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2019-05-20",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "352-336-1433"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; 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.