Clemente Physical Therapy PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

29331 Issued in NY

Legal business name

CLEMENTE PHYSICAL THERAPY PC

Practice address

340 Haven Ave Apt 2C
New York, NY 10033-5336

Phone

(646) 404-0014

NPI assigned

Jun 2, 2014

Organization subpart

No

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

Authorized official

Name

Michael Sean Clemente, DPT

Title

Ceo

Phone

(646) 404-0014

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1962814475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 HAVEN AVE APT 2C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100335336",
            "telephone_number": "646-404-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 HAVEN AVE APT 2C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100335336",
            "telephone_number": "646-404-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEMENTE PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-02",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "CLEMENTE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SEAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "646-404-0014",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "29331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11954746",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Audrey Clement, RN
• Carolyn S. Clement, PH.D.
• Christine Clement, RD
• Daniel Clement, M.D.
• Josh Clement, PHARMD
• Andrea Clemente, M.S.ED
• Diana Clemente, PA
• Diane Clemente, LCSW
• Fernando M. Clemente, M.D.
• Jose Antonio Clemente

• Physical Therapy Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.