PATRICK CLINTON (PT) – Physical Therapist, NPI 1265801070

PATRICK CLINTON (PT) is a healthcare provider. based in Gresham, Oregon. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 61355 (OR). The NPI Number for PATRICK CLINTON (PT) is 1265801070

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
PATRICK CLINTON (PT)
NPI
1265801070
Phone
(503) 491-1666
Address
24076 SE STARK ST
Enumeration Date
22 September 2015
Last Update Date
22 September 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9712456663
Graduation Year
2015 (11 years ago)
PAC ID
4486962578
Group Practice PAC ID
7517115579
Professional Enrollment ID
I20151009002309
Address ID
OR970067369BE16100RDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,808 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OR

Provider Addresses for PATRICK CLINTON (PT)

  • 24076 SE STARK ST

    SUITE 200

    GRESHAM, OR 970303373

    Phone: (503) 491-1666

    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: 2015-10-09

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
I20151009002309IPhysical Therapist In Private PracticeORTBD

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
97530Therapy procedure using functional activities1,05440$0
97016Application of blood vessel compression device11511$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care6614$0
97140Therapy procedure using manual technique, each 15 minutes3114$0
97161Evaluation for physical therapy, typically 20 minutes3129$0
View full utilization report →

Insurance plans in this area (ZIP 97030)

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Provider's Procedures

PATRICK CLINTON (PT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYOR97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes5615

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: 7517115579View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR
Occupational Therapist In Private PracticeNV
Physical Therapist In Private PracticeOR
Occupational Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeOR
Occupational Therapist In Private PracticeAZ
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR

Reviews

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Frequently asked questions

Can I verify PATRICK CLINTON (PT) with an NPI only?
You can start verification with NPI 1265801070 for PATRICK CLINTON (PT), then check state licensing separately.
Can I rely on PATRICK CLINTON (PT) being an active provider?
As of the registry snapshot, PATRICK CLINTON (PT) is marked active.
What is PATRICK CLINTON (PT) best known for clinically?
Directory data describes PATRICK CLINTON (PT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
What area does PATRICK CLINTON (PT) serve?
PATRICK CLINTON (PT)'s listing highlights Gresham, Oregon; more addresses can appear in NPPES.
Why does PATRICK CLINTON (PT) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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