MR. THOMAS ROBERT CLINTON (NPI# 1558344036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558344036 |
Entity Type | Individual |
Full Name | MR. THOMAS ROBERT CLINTON |
Credential | PT |
Practice Address |
710 Park Center Dr Ste 200 Matthews NC 28105-5081 |
Mailing Address |
4601 Park Rd Suite 300 Charlotte NC 28209-3239 |
Practice Telephone | 7043232000 |
Mailing Telephone | 7043232000 |
Enumeration Date | 2005-11-29 |
Last Update Date | 2015-10-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
2826 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
710 PARK CENTER DR STE 200 |
City | MATTHEWS |
State | NC |
Zip Code | 28105-5081 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861474603 | David Norris Dupuy | Orthopaedic Surgery | 710 Park Center Dr, Suite 200, Matthews, NC 28105-5012 | 2005-11-17 |
1134524879 | Suzanne Lundy | Physical Therapist | 710 Park Center Dr, Suite 200, Matthews, NC 28105-5012 | 2014-10-23 |
1194168344 | Adam Michael Boyer | Specialist/Technologist, Other | 710 Park Center Dr, Suite 300, Matthews, NC 28105-5012 | 2013-04-08 |
1013298926 | Matthews Surgery Center, LLC | Clinic/Center | 710 Park Center Dr, Suite 100, Matthews, NC 28105-5012 | 2011-09-06 |
1679861306 | Erin Elizabeth Markel | Physical Therapist | 710 Park Center Dr, Matthews, NC 28105-5012 | 2011-07-15 |
1366763344 | John Ryan Martin | Orthopaedic Surgery | 710 Park Center Dr, Suite 300, Matthews, NC 28105-5081 | 2010-06-14 |
1578893426 | Orthocarolina, Pa | Physical Therapist | 710 Park Center Dr, Suite 200, Matthews, NC 28105-5012 | 2009-12-28 |
1154554400 | Kristine Diane Royen | Physical Therapist | 710 Park Center Dr, Suite 200, Matthews, NC 28105-5012 | 2009-09-02 |
1639367808 | Beth Reed Little | Physical Therapist | 710 Park Center Dr, Matthews, NC 28105-5012 | 2007-10-12 |
1902090673 | Noah T Zacharko | Physical Therapist | 710 Park Center Dr, Suite 200, Matthews, NC 28105-5012 | 2007-09-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750917407 | Lauren Deasy Blackshaw | Counselor | 1163 Sam Newell Rd, Matthews, NC 28105 | 2020-03-13 |
1912549643 | Monarch | Community/Behavioral Health | 10545 Paces Avenue 634, Matthews, NC 28105 | 2019-10-15 |
1326515768 | Holly Harvey Heddleson | Nurse Practitioner | 1450 Matthews Township Pkwy Ste 280, Matthews, NC 28105 | 2018-10-24 |
1396241030 | Erickson Health Medical Group of North Carolina, PC | Internal Medicine | 2030 Windsor Run Lane, Matthews, NC 28105 | 2018-04-02 |
1811406994 | Lice Clinics of America of The Carolinas | Technician, Other | 3042 Suite C Senna Dr, Matthews, NC 28105 | 2017-09-21 |
1376065003 | Carillon Assisted Living of Mint Hill, LLC | Custodial Care Facility | 5601 Margaret Wallace Road, Matthews, NC 28105 | 2017-07-14 |
1568906055 | London Young | Physical Therapy Assistant | 11100- 11189 Berkley Square Ln, Charlotte, NC 28105 | 2016-12-19 |
1003363128 | New Beginnings Community Counseling Center | Community/Behavioral Health | 5232 Maragaret Wallace Road, Matthews, NC 28105 | 2016-09-07 |
1275993149 | Kristi Dougan | Nurse Practitioner | 434 N Trade St Ste 104, Matthews, NC 28105 | 2016-03-04 |
1205219896 | Kalyani Vellanki Starr | Dentist | 1819 Matthews Township Pkwy Ste 200, Matthews, NC 28105 | 2015-07-01 |
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Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902090673 | Noah T Zacharko | Physical Therapist | 710 Park Center Dr, Suite 200, Matthews, NC 28105-5012 | 2007-09-05 |
1942284351 | Rayanne Hitzeman | Physical Therapist | 1450 Matthews Township Pkwy, Suite 250, Matthews, NC 28105-2387 | 2005-11-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003438292 | Letizia B Migliaccio | Physical Therapist | 3726 Battleground Ave # B, Greensboro, NC 27410-2344 | 2020-05-11 |
1396371787 | Teresa Blake Robertson Elder | Physical Therapist | 120 Grandview Ave, Brevard, NC 28712-4727 | 2020-03-17 |
1821650367 | Peak Pelvic Health Physical Therapy, LLC | Physical Therapist | 160 Macgregor Pines Dr Ste 101, Cary, NC 27511-6037 | 2019-07-05 |
1679132690 | Demario Sharrod Lewis | Physical Therapist | 200 W Woodcroft Pkwy Apt 62b, Durham, NC 27713-8086 | 2019-06-12 |
1679032866 | David James Lawton | Physical Therapist | 101 E W T Harris Blvd Ste 5001, Charlotte, NC 28262-3574 | 2019-03-18 |
1497211643 | Mackenzie Gilliss | Physical Therapist | 703 N Us 29 Hwy, China Grove, NC 28023-2617 | 2019-02-13 |
1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
1730658253 | Smart Athlete Physiotherapy, LLC | Physical Therapist | 1017 E Whitaker Mill Rd, Raleigh, NC 27608-2757 | 2018-11-14 |
1366927659 | Judy Larose Foxworth | Physical Therapist | 601 S Mlk Jr Drive F L Atkins Bldg Rm 333, Winston Salem, NC 27110-0001 | 2018-10-02 |
1063905065 | Gabriela Perez | Physical Therapist | 5920 Sandy Forks Rd, Raleigh, NC 27609-3814 | 2018-06-13 |
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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.