Healthcare Provider Details

I. General information

NPI: 1982512729
Provider Name (Legal Business Name): CLARE KENNEDY CLANTON PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3301 NEW MEXICO AVE NW STE 110
WASHINGTON DC
20016-3622
US

IV. Provider business mailing address

3301 NEW MEXICO AVE NW STE 110
WASHINGTON DC
20016-3622
US

V. Phone/Fax

Practice location:
  • Phone: 202-519-1020
  • Fax:
Mailing address:
  • Phone: 202-519-1020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT210002631
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: