Active NPI
Sheena Clegg
- Physician Assistant
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA066732
- Practice address
- 2329 Cottman Ave
Philadelphia, PA 19149-1003 - Phone
- (267) 977-1616
- NPI assigned
- Aug 8, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA066732 | PA | Primary |
Addresses
Primary practice location
2329 Cottman Ave
Philadelphia, PA 19149-1003
Mailing address
3404 Cottman Ave
Philadelphia, PA 19149-1604
Phone (267) 977-1616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10 E Ridge Pike
Conshohocken, PA 19428-2117
180 W Girard Ave
Suite 108
Philadelphia, PA 19123-1660
Phone (267) 319-8047
2329 Cottman Ave
Philadelphia, PA 19149-1003
Phone (267) 814-2401
48 A E Ridge Pike
Conshohocken, PA 19428-2117
Phone (484) 243-6735
9998 Frankford Ave
Philadelphia, PA 19114-1928
Phone (267) 669-1101
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA066732 | PA | MD | Physician Assistant |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754611200000",
"number": "1922983931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3404 COTTMAN AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191491604",
"telephone_number": "267-977-1616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2329 COTTMAN AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191491003",
"telephone_number": "267-977-1616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEGG",
"first_name": "SHEENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-08",
"last_updated": "2025-08-08",
"certification_date": "2025-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA066732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.