KEVIN BRUCE CLINTON (NPI# 1144841057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144841057 |
| Entity Type | Individual |
| Full Name | KEVIN BRUCE CLINTON |
| Practice Address |
3545 S National Ave Springfield MO 65807-7310 |
| Practice Telephone | 4172695500 |
| Practice Fax Number | 4172695508 |
| Mailing Telephone | 4172695500 |
| Mailing Fax Number | 4172695508 |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2020-05-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 117942 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164081378 | Kevin Clinton | Technician, Other | 1806 E Fir Ave Ste 200, Fergus Falls, MN 56537-3921 | 2019-06-11 |
| Street Address |
3545 S NATIONAL AVE |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65807-7310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912942194 | James E Bruton Jr. | Specialist/Technologist | 3545 S National Ave, Meyer Center, Springfield, MO 65807-7310 | 2006-06-19 |
| 1659988046 | Taylor Waller | Occupational Therapist | 3545 S National Ave, Springfield, MO 65807-7310 | 2020-09-29 |
| 1013538099 | Miranda Benson | Occupational Therapist | 3545 S National Ave, Springfield, MO 65807-7310 | 2020-05-01 |
| 1134740178 | Rachel Lea Compere | Occupational Therapist | 3545 S National Ave, Springfield, MO 65807-7310 | 2020-04-30 |
| 1841811858 | Peter Anthony Martinez | Physical Therapist | 3545 S National Ave, Springfield, MO 65807-7310 | 2020-04-30 |
| 1265053276 | Robert Brent Doss | Physical Therapist | 3545 S National Ave, Springfield, MO 65807-7310 | 2020-04-30 |
| 1992326193 | Mark L Vandersnick | Physical Therapist | 3545 S National Ave, Springfield, MO 65807-7310 | 2020-04-29 |
| 1043831381 | Ronald Lee Sapp I | Physical Therapist | 3545 S National Ave, Springfield, MO 65807-7310 | 2020-04-28 |
| 1629699921 | John Andrew Compton | Physical Therapist | 3545 S National Ave, Springfield, MO 65807-7310 | 2020-04-28 |
| 1568082956 | Erika Louderbaugh | Occupational Therapist | 3545 S National Ave, Springfield, MO 65807-7310 | 2020-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396390241 | Karley Kassandra Murphy | Counselor | 3734 South Ave #c, Springfield, MO 65807 | 2019-08-07 |
| 1396203626 | Auvia L Logan | Dietitian, Registered | 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 | 2019-03-05 |
| 1598250961 | Kathryn Barber | Nurse Practitioner | 3800 S National Ave Ste 700, Springfield, MO 65807 | 2018-06-27 |
| 1447764899 | Missouri Midwifery Service | Clinic/Center | 3840 South Avenue, Springfield, MO 65807 | 2017-11-21 |
| 1124530290 | Senior Living Management Group, LLC | Skilled Nursing Facility | 3705 S Jefferson Ave, Springfield, MO 65807 | 2017-10-30 |
| 1740663335 | Sarah E Kirk | Physical Therapist | 3545 S. National Ave, Springfield, MO 65807 | 2015-07-01 |
| 1750713335 | Amanda Ward | Nurse Practitioner | 2150 W Republic Rd Ste 112, Springfield, MO 65807 | 2013-08-06 |
| 1932531126 | Eugenia R Cortez | Counselor | 2124 Chesterfield Blvd., Springfield, MO 65807 | 2013-07-30 |
| 1962742866 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3045 W Republic St, Springfield, MO 65807 | 2013-03-01 |
| 1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
| Find all providers in zip 65807 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447859376 | Results-ast Jv, LLC | Physical Therapist | 3556 Tom Austin Highway, Suite 2, Springfield, TN 37172 | 2020-10-21 |
| 1750989976 | John Churan | Physical Therapist | 8704 Morrissette Dr, Springfield, VA 22152-1079 | 2020-10-09 |
| 1740896810 | Titus Wade | Physical Therapist | 719 S Main St Ste 104, Springfield, TN 37172-2809 | 2020-09-23 |
| 1922610427 | Jenae Annette Rankin | Physical Therapist | Intelligent Therapy, 719 South Main Street, Springfield, TN 37172 | 2020-08-18 |
| 1174140214 | Samantha Maria Puller | Physical Therapist | 8348 Traford Lane Suite 200, Springfield, VA 22152 | 2020-07-05 |
| 1043839806 | Tamra Holmes Standage | Physical Therapist | 2900 S National Ave Ste A, Springfield, MO 65804-3634 | 2020-04-13 |
| 1982238978 | Cyril Sanciangco | Physical Therapist | 90 Kew Dr, Springfield, NJ 07081-2505 | 2020-02-27 |
| 1821636416 | George Gamble | Physical Therapist | 85 Duncan Ln, Springfield, PA 19064-1601 | 2019-12-14 |
| 1730741919 | Rachel Annelise Boynton | Physical Therapist | 348 Cooley St Unit 10, Springfield, MA 01128-1144 | 2019-07-08 |
| 1407414865 | Austin Doh | Physical Therapist | 5501 Backlick Rd Ste 118, Springfield, VA 22151-3940 | 2019-05-31 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65807 |
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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.