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CLEMENS PHYSICAL THERAPY PLLC NPI 1912074170


NPI Information

NPI: 1912074170
Provider Name: CLEMENS PHYSICAL THERAPY PLLC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
302 W MAIN ST
BRIDGEPORT, WV
ZIP 26330
Phone: (304) 842-6008
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CLEMENS PHYSICAL THERAPY PLLC is a specialist in Bridgeport, WV. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CLEMENS PHYSICAL THERAPY PLLC NPI is 1912074170. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

302 W MAIN ST
BRIDGEPORT, WV
ZIP 26330-751
Phone: (304) 842-6008
Fax: (304) 842-0060

The provider's authorized official is Marnie Clemens .
The authorized official title is Owner and has the following contact phone number (304) 842-6008.

The enumeration date for this NPI number is 11/30/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist001091WEST VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10157976001MEDICAIDWEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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