MS. NICOLE MARIE CLEMENT (NPI# 1093028540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093028540 |
Entity Type | Individual |
Full Name | MS. NICOLE MARIE CLEMENT |
Credential | DPT |
Practice Address |
2305 Genoa Business Park Dr Suite 170 Brighton MI 48114-7004 |
Practice Telephone | 8102998550 |
Practice Fax Number | 8108440837 |
Mailing Telephone | 8102998550 |
Mailing Fax Number | 8108440837 |
Enumeration Date | 2010-07-26 |
Last Update Date | 2017-02-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
5501015263 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497285258 | Nicole A Clement | Social Worker | 1031 Brookhven Road, Franklin, KY 42134-1031 | 2017-06-14 |
1447641147 | Nicole Clement | Registered Nurse | 55 Elm St, Glens Falls, NY 12801-3549 | 2015-02-17 |
Street Address |
2305 GENOA BUSINESS PARK DR SUITE 170 |
City | BRIGHTON |
State | MI |
Zip Code | 48114-7004 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649273947 | Ayad A. Farjo | Ophthalmology | 2305 Genoa Business Park Dr, Suite 250, Brighton, MI 48114-7004 | 2005-05-31 |
1548702087 | Darlene Demeniuk | Occupational Therapist | 2305 Genoa Business Park Dr, Ste 170, Brighton, MI 48114-7004 | 2016-11-15 |
1780032524 | Alyssa Zantello | Physician Assistant | 2305 Genoa Business Park Dr, Suite 170, Brighton, MI 48114-7004 | 2016-06-02 |
1467873828 | Iha Health Services Corporation | Obstetrics & Gynecology | 2305 Genoa Business Park Dr, Suite 230, Brighton, MI 48114-7004 | 2014-01-02 |
1487091377 | Julie Tenckinck Sauer | Occupational Therapist | 2305 Genoa Business Park Dr, Suite 170, Brighton, MI 48114-7004 | 2013-05-31 |
1710225412 | Kristen Elizabeth Upton | Nurse Practitioner | 2305 Genoa Business Park Dr, Suite 240, Brighton, MI 48114-7004 | 2013-01-30 |
1659624591 | Dermatology & Phototherapy Center of Brighton, Plc | Dermatology | 2305 Genoa Business Park Dr, Brighton, MI 48114-7004 | 2012-10-16 |
1558611046 | Juliana Hagele | Physician Assistant | 2305 Genoa Business Park Dr, Suite 170, Brighton, MI 48114-7004 | 2012-09-12 |
1558624858 | Tracy M Olsen | Nurse Practitioner | 2305 Genoa Business Park Dr, Ste 200, Brighton, MI 48114-7004 | 2012-06-21 |
1053625467 | Advanced Orthopedic Specialists PC | Non-Pharmacy Dispensing Site | 2305 Genoa Business Park Dr, Ste 170, Brighton, MI 48114-7004 | 2010-07-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386114866 | Key Development Center, Inc. | Counselor | 2060 Grand River Annex Suite 600, Brighton, MI 48114 | 2018-11-28 |
1205326873 | Montana Neurology Pllc | Psychiatry & Neurology | 2040 Grand River Anx Ste 200, Brighton, MI 48114 | 2018-05-18 |
1205370855 | Samantha Hawley | Contractor | 73 Perch Street, Brighton, MI 48114 | 2016-12-15 |
1164883633 | Kathryn Degrande Lankton | Family Medicine | 7575 Grand River Ste 210, Brighton, MI 48114 | 2016-03-11 |
1992110241 | Bryant Castelein | Podiatrist | 7990 Grand River Rd Ste D, Brighton, MI 48114 | 2014-06-25 |
1033544945 | Maria Kottke | Nurse Practitioner | 3222 Eden Trl, Brighton, MI 48114 | 2013-09-10 |
1720380462 | Kami Erin Bartholomew | Physical Therapy Assistant | 744 Grand River, Brighton, MI 48114 | 2010-12-01 |
1467779223 | Amy Hund | Psychologist | 10031 Spencer Rd, Brighton, MI 48114 | 2010-05-03 |
1851529978 | Mark Brian Mcintee | Physician Assistant | 7575 W. Grand River, Brighton, MI 48114 | 2009-06-26 |
1982865432 | Disha Kinra | Dentist | 7743 Grand River Ave Ste 202, Great Expressions Dental Centers, Brighton, MI 48114 | 2008-06-18 |
Find all providers in zip 48114 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710963012 | Samir Kumar Barman | Physical Therapist | 455 E Grand River Ave, Suite 104, Brighton, MI 48116-1551 | 2005-12-19 |
1972092005 | John Gregory Clayton | Physical Therapist | 1093 E Bridge St, Brighton, CO 80601-2252 | 2018-05-03 |
1205201852 | Lauren Frazier | Physical Therapist | 1600 Prairie Center Pkwy, Brighton, CO 80601-4006 | 2015-12-08 |
1134500259 | Taire Michele Thie | Physical Therapist | 740 W Grand River Ave, Brighton, MI 48116-2392 | 2015-06-15 |
1821365297 | Raymond B Vigil | Physical Therapist | 70 S 20th Ave, Unit I, Brighton, CO 80601-3703 | 2011-11-29 |
1710266606 | Erin Hunt Reeverts | Physical Therapist | 70 S 20th Ave, Suite I, Brighton, CO 80601-3703 | 2011-08-09 |
1265656581 | Michael Scott Hoorn | Physical Therapist | 2305 Genoa Business Park Dr., Suite 170, Brighton, MI 48114 | 2007-04-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447851514 | Rebecca Marie Beery | Physical Therapist | 9551 Saline Waterworks Rd, Manchester, MI 48158-9728 | 2020-11-05 |
1861037921 | Jackson Hanks II | Physical Therapist | 2901 Commerce Xing, Commerce Township, MI 48390-3084 | 2019-11-13 |
1366084030 | Shelby Gusfa | Physical Therapist | 36622 Five Mile Rd Ste 102, Livonia, MI 48154-1900 | 2019-10-14 |
1881168078 | Jessie Lynn Lewis | Physical Therapist | 3315 E Michigan Ave Ste 4, Lansing, MI 48912-4649 | 2019-01-22 |
1063980373 | Fuel Physical Therapy & Sports Performance, LLC | Physical Therapist | 1139 Houseman Ave Ne, Grand Rapids, MI 49503-1229 | 2018-11-05 |
1386111243 | Your Alternative Pt, LLC | Physical Therapist | 640 Romence Rd Ste 111, Portage, MI 49024-3400 | 2018-10-30 |
1811472319 | Rachel E Michalski | Physical Therapist | 12150 30 Mile Rd Ste 102, Washington Township, MI 48095-2035 | 2018-10-01 |
1265916852 | Kelly Gotberg | Physical Therapist | 854 Washington Ave Ste 200, Holland, MI 49423-7143 | 2018-09-19 |
1942793799 | Andrew Joseph Grix | Physical Therapist | 2525 S Telegraph Rd Ste 314, Bloomfield Hills, MI 48302 | 2018-06-06 |
1790272078 | Susan G Gall | Physical Therapist | 67267 S Main St, Richmond, MI 48062-1919 | 2018-04-22 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.