Tanya L Clement, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT2903 Issued in ME

Practice address

897 W Main St
Dover Foxcroft, ME 04426-1029

Phone

(207) 564-4273

Fax

(207) 564-4274

NPI assigned

Mar 9, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Miss Tanya L Stinson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Greater Brunswick Physical Therapy P.a.

  • Physical Therapist
  • Topsham, ME
  • NPI 1568567659
  NPD

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1952379596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "897 W MAIN ST",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "044261029",
            "telephone_number": "207-564-4273",
            "fax_number": "207-564-4274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "897 W MAIN ST",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "044261029",
            "telephone_number": "207-564-4273",
            "fax_number": "207-564-4274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENT",
        "first_name": "TANYA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT2903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "189660000",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432033799",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "061551",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANYA",
            "last_name": "STINSON",
            "middle_name": "L",
            "prefix": "MISS",
            "credential": "MSPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Chickadee OT Me LLC
• Kathleen Childs, FNP
• Kassandra Alyssa Churchill
• John Warren Clark, DDS
• Felicia Cleaves, RN
• Clinical Consultation & Counseling, P.a.
• Christopher Robert Clukey, M.A.CCC-A
• Jeffrey Allen Cole, DO
• Lauren Colley, PTA
• Jason Lee Comeau, APRN-CNP

• Physical Therapist in Dover Foxcroft, ME
• Providers in Dover Foxcroft, ME by specialty
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.