ADAM CLENDENEN (PT, DPT) – Physical Therapist, NPI 1821770918

ADAM CLENDENEN (PT, DPT) is a healthcare provider. based in Mount vernon, Iowa. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 120066 (IA). The NPI Number for ADAM CLENDENEN (PT, DPT) is 1821770918

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
ADAM CLENDENEN (PT, DPT)
NPI
1821770918
Phone
(319) 895-8655
Address
300 VIRGIL AVE
Enumeration Date
7 August 2023
Last Update Date
7 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3196241250
Graduation Year
2023 (3 years ago)
PAC ID
3577925429
Group Practice PAC ID
1153313986
Professional Enrollment ID
I20230809003822
Address ID
IA523339760SO411XXLNXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

1,303 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IA

Provider Addresses for ADAM CLENDENEN (PT, DPT)

  • 300 VIRGIL AVE

    MOUNT VERNON, IA 523149569

    Phone: (319) 895-8655

    Fax: (319) 895-8651

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-08-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230809003822IPhysical Therapist In Private PracticeIATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes44533$0
97140Therapy procedure using manual technique, each 15 minutes24926$0
97530Therapy procedure using functional activities14931$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care8618$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes4111$0
View full utilization report →

Insurance plans in this area (ZIP 52314)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153313986View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeAZ
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeIA

Reviews

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Frequently asked questions

How is ADAM CLENDENEN (PT, DPT) identified in CMS data?
CMS-hosted NPPES data lists ADAM CLENDENEN (PT, DPT) with NPI 1821770918.
Does the file indicate ADAM CLENDENEN (PT, DPT) is practicing under active NPI?
Directory data currently reports ADAM CLENDENEN (PT, DPT) as active.
What taxonomy line describes ADAM CLENDENEN (PT, DPT)?
For research purposes, treat ADAM CLENDENEN (PT, DPT) as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
What area does ADAM CLENDENEN (PT, DPT) serve?
ADAM CLENDENEN (PT, DPT)'s listing highlights Mount Vernon, Iowa; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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