MR. THOMAS L CLENNELL (NPI# 1194048363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194048363 |
| Entity Type | Individual |
| Full Name | MR. THOMAS L CLENNELL |
| Credential | D.P.T. |
| Practice Address |
100 N Wiget Ln Ste 200 Walnut Creek CA 94598-5988 |
| Practice Telephone | 9259880100 |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2010-03-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251S0007X |
Physical Therapist Specialization: Sports |
36462 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
100 N WIGET LN STE 200 |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94598-5988 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083698732 | Vahid Feiz | Ophthalmology | 100 N Wiget Ln, Suite 270, Walnut Creek, CA 94598-5988 | 2005-12-05 |
| 1669955837 | David Kevin Johnson | Psychologist | 100 N Wiget Ln, Walnut Creek, CA 94598-5988 | 2018-09-12 |
| 1699211565 | Vahid Feiz, Md, Inc | Ophthalmology | 100 N Wiget Ln, Suite 270, Walnut Creek, CA 94598-5988 | 2017-01-16 |
| 1598137416 | Seth Eberlin Md | Plastic Surgery | 100 N Wiget Ln, Ste 100, Walnut Creek, CA 94598-5988 | 2015-10-30 |
| 1245624212 | George James Counelis Md Inc | Neurological Surgery | 100 N Wiget Ln, Suite 160, Walnut Creek, CA 94598-5988 | 2015-03-26 |
| 1811295819 | Seth Eberlin | Plastic Surgery | 100 N Wiget Ln, Suite 100, Walnut Creek, CA 94598-5988 | 2011-03-01 |
| 1962686881 | Michelle Cappello | Physical Therapist | 100 N Wiget Ln, Suite 200, Walnut Creek, CA 94598-5988 | 2007-12-27 |
| 1710012869 | Shadelands Surgery Center, LLC | Clinic/Center | 100 N Wiget Ln, Suite #110, Walnut Creek, CA 94598-5988 | 2007-02-22 |
| 1407996358 | Bradford T. Prescott Medical Corporation | Plastic Surgery | 100 N Wiget Ln, Suite #100, Walnut Creek, CA 94598-5988 | 2007-02-08 |
| 1023041464 | Parminder Sethi | Urology | 100 N Wiget Ln, Ste 290, Walnut Creek, CA 94598-5988 | 2006-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639716608 | Tasnim Diaf Moulton | Counselor | 2730 Shadelands Drive, Walnut Creek, CA 94598 | 2019-12-09 |
| 1790255370 | Harmony Grace Davis | Behavior Technician | 2730 Shadelands Drive Bldg 10, Walnut Creek, CA 94598 | 2018-11-27 |
| 1922583772 | Melissa Anne Mcgovern | Behavioral Analyst | 2370 Shadelands Drive, Bldg 10, Walnut Creek, CA 94598 | 2018-09-27 |
| 1184108367 | Brett Heflin Woodrufff | Behavior Technician | 2730 Shandeland Dr. Building 10, Walnut Creek, CA 94598 | 2018-09-24 |
| 1710411640 | Mandy Wei | Pharmacist | 2880 Shadeland Dr, Suite 201, Walnut Creek, CA 94598 | 2017-04-18 |
| 1437683497 | Hayley Miller | Student in an Organized Health Care Education/Training Program | 2204 Lomond Lane, Walnut Creek, CA 94598 | 2017-04-17 |
| 1043601594 | Marlene Perez Riedel | Nurse Practitioner | 450 North Wiget Lane, Walnut Creek, CA 94598 | 2015-02-05 |
| 1922418904 | Dante Michael Sorrentino | Ophthalmology | Kaiser Permanente Park Shadelands Medical Offices, 320 Lennon Lane, Walnut Creek, CA 94598 | 2014-04-30 |
| 1194156505 | Robert Harrison Hubbell | Obstetrics & Gynecology | 838 Stonehaven Dr, Walnut Creek, CA 94598 | 2013-12-11 |
| 1174954192 | Paul Mead | Orthopaedic Surgery | 2405 Shadelands Dr Ste 300, Walnut Creek, CA 94598 | 2013-12-01 |
| Find all providers in zip 94598 | ||||
| Taxonomy Code | 2251S0007X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447428412 | Stacy Lynn Wong | Physical Therapist | 2405 Shadelands Dr, Walnut Creek, CA 94598-2444 | 2008-02-13 |
| 1962686881 | Michelle Cappello | Physical Therapist | 100 N Wiget Ln, Suite 200, Walnut Creek, CA 94598-5988 | 2007-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104443837 | Coastal Physical Therapy and Sports Rehabilitation | Physical Therapist | 258 Lombard St, Thousand Oaks, CA 91360-5806 | 2020-06-29 |
| 1992335509 | Ashton Pickle | Physical Therapist | 150 Loma Ln, San Clemente, CA 92672-4721 | 2020-01-23 |
| 1083262976 | Lana Aziz-oglii | Physical Therapist | 2791 Brimhall Dr, Los Alamitos, CA 90720-4905 | 2019-09-03 |
| 1174080931 | Mmt Physical Therapy Inc | Physical Therapist | 3040 Larkin St, San Francisco, CA 94109-1116 | 2019-02-27 |
| 1649737982 | La Orthopedic and Pediatric Physical Therapy | Physical Therapist | 16055 Ventura Blvd Ste 825, Encino, CA 91436-2617 | 2019-02-22 |
| 1225505894 | Haley Tarryn Hawes | Physical Therapist | 12401 Wilshire Blvd Ste 105, Los Angeles, CA 90025-1015 | 2018-10-31 |
| 1629561667 | Jason Chan Hyung Park | Physical Therapist | 2440 W Carson St, Torrance, CA 90501-3146 | 2018-06-13 |
| 1447757125 | Anthony G Tam | Physical Therapist | 5030 Bonita Rd Ste B, Bonita, CA 91902-1700 | 2018-04-10 |
| 1730606468 | Joseph Anthony Santistevan | Physical Therapist | 1975 Maricopa Hwy Spc 19, Ojai, CA 93023-2365 | 2017-08-24 |
| 1124541016 | Max Biessmann | Physical Therapist | 28202 Cabot Rd Ste 150, Laguna Niguel, CA 92677-1250 | 2017-07-21 |
| Find all providers with the same taxonomy | ||||
| City | WALNUT CREEK |
| Zip Code | 94598 |
Please comment or provide details below to improve the information on MR. THOMAS L CLENNELL.
| 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.