PAUL ALVIN CLAVECILLA (NPI# 1710433008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710433008 |
| Entity Type | Individual |
| Full Name | PAUL ALVIN CLAVECILLA |
| Practice Address |
1099 South Main St. Apt. 314 Crown Point IN 46307 |
| Mailing Address |
1099 S Main St Apt. 314 Crown Point IN 46307-4851 |
| Practice Telephone | 8479429143 |
| Mailing Telephone | 8479429143 |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2016-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
070020612 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1099 SOUTH MAIN ST. APT. 314 |
| City | CROWN POINT |
| State | IN |
| Zip Code | 46307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117935 | Alimat O Biokoro | Home Health Aide | 1446 W 94th Ct., Crown Point, IN 46307 | 2020-09-06 |
| 1508489931 | Gentle Hearts Cardiovascular Institution LLC | Internal Medicine | 5221 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307 | 2020-05-20 |
| 1659933646 | Darshak Joshi | Physical Therapist | 860 Stillwater Parkway, Crown Point, IN 46307 | 2019-07-01 |
| 1215592001 | Jamie Monday | Counselor | 1416 East Joliet St., Crown Point, IN 46307 | 2019-05-07 |
| 1790281152 | Tempus Labs Inc. | Clinical Medical Laboratory | 9800 Connecticut Drive, Suite A2-100, Crown Point, IN 46307 | 2018-04-04 |
| 1669991170 | Katie Lynn Eich | Counselor | 1308 N. Main St, Crown Point, IN 46307 | 2017-09-15 |
| 1053847251 | Nicole Bashan Lewis | Counselor | 1325 W 98th Ave, Crown Point, IN 46307 | 2017-05-08 |
| 1851761365 | Cynthia Catherine Grass Black | Social Worker | 8592 Bell Lane, Crown Point, IN 46307 | 2015-09-28 |
| 1326437799 | Ameya Dorsatwar | Physical Therapist | 1516 North Main St, Crown Point, IN 46307 | 2015-01-22 |
| 1124436217 | Michelle Wathier | Nurse Practitioner | 2272 North Main Street, Minute Clinic, Crown Point, IN 46307 | 2014-08-01 |
| Find all providers in zip 46307 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083172233 | Mariliz Jimenez Dykstra | Physical Therapist | 7573 W 121st Ave, Crown Point, IN 46307-8716 | 2019-03-06 |
| 1477749398 | Arliza C Bernal | Physical Therapist | 10345 Price St, Crown Point, IN 46307-7608 | 2007-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346861994 | Meriam Singson | Physical Therapist | 2601 Covington Commons Dr, Fort Wayne, IN 46804-7333 | 2020-05-05 |
| 1659836112 | Darron Scott Bailey | Physical Therapist | 901 S Hastings Dr, Bloomington, IN 47401-8205 | 2019-02-08 |
| 1972076198 | Wingard Wellness & Therapy Services | Physical Therapist | 5792 S Ornamental Dr, Bloomington, IN 47401-9307 | 2019-01-10 |
| 1730660481 | Samruddhi Dawande | Physical Therapist | 200 Green Meadows Drive, Greenfield, IN 46140 | 2018-08-21 |
| 1790138535 | Jovelyn Uy Espinosa | Physical Therapist | 316 Chisholm Pl, Fort Wayne, IN 46825-6573 | 2016-07-17 |
| 1396169504 | Najmeh Hoseini | Physical Therapist | 1025 E 7th St # 112, Bloomington, IN 47405-7109 | 2014-02-07 |
| 1447682091 | Jacqueline Elaine Morone | Physical Therapist | 10638 Windjammer Cir, Indianapolis, IN 46236-8933 | 2013-08-06 |
| 1932450012 | Jagriti N Mayer | Physical Therapist | 77 White Oak Dr, Batesville, IN 47006-7693 | 2012-09-28 |
| 1710201652 | Dawn Marie Riddle | Physical Therapist | 8226 Stonelick Dr, Avon, IN 46123-6509 | 2010-03-22 |
| 1326374455 | Ratana Ito | Physical Therapist | 1560 E 101st St, Indianapolis, IN 46280-1555 | 2009-10-23 |
| Find all providers with the same taxonomy | ||||
| City | CROWN POINT |
| Zip Code | 46307 |
Please comment or provide details below to improve the information on PAUL ALVIN CLAVECILLA.
| 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.