The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
NPI | 1134382146 |
NPI Entity Type | Individual |
Provider Name | PT Timothy Clemmons |
Enumeration Date | September 30, 2009 |
Last Update Date | September 30, 2009 |
Provider Location Address | 6298 Veterans Pkwy, Ste 5a, Columbus, GA, US |
Provider Mailing Address | 6298 Veterans Pkwy, Ste 5a, Columbus, GA, US, 319096258 |
Is Sole Proprietor? | No |
Taxonomy Code | |
Taxonomy Name | Clinical Electrophysiology Physical Therapist |
Classification | |
Group |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
License No. | PT009320 |
License State | GA |
Description | A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Clinical Electrophysiologic Physical Therapy, who has demonstrated specialized knowledge and skill in electrophysiologic examinations and evaluations and encompasses both the professional and technical components of the observation, recording, analysis, and interpretation of bioelectric muscle and nerve potentials, detected by means of surface or needle electrodes, for the purpose of evaluating the integrity of the neuromuscular system. Electrophysiologic evaluations include, but are not limited to, electrodiagnostic testing, which includes clinical needle electromyography, motor and sensory nerve conduction studies, and other evoked potential procedures. |
Taxonomy Code | Group | Classification | License No. | State | Primary? |
---|---|---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
PT009320 | GA | No | ||
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
PTH6102 | AL | No |
Identifier | Identifier State | Identifier Issuer | Type/Code |
---|---|---|---|
PTH6102 | AL | ALABAMA BOARD OF PHYSICAL THERAPY | 01 |
PT009320 | GA | STATE OF GEORGIA PHYSICAL THERAPY BOARD | 01 |
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