MADYSON P CLEMENTS (DPT) – Physical Therapist, NPI 1720959877

MADYSON P CLEMENTS (DPT) is a healthcare provider. based in Greeneville, Tennessee. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 16702 (TN). The NPI Number for MADYSON P CLEMENTS (DPT) is 1720959877

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
MADYSON P CLEMENTS (DPT)
NPI
1720959877
Phone
(423) 609-7997
Address
2000 MONARCH PT
Enumeration Date
12 September 2025
Last Update Date
12 September 2025

Doctor Profile

Medical School Name
EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Secondary Phone
4236097997
Graduation Year
2025 (1 year ago)
PAC ID
2769989318
Group Practice PAC ID
5890183107
Professional Enrollment ID
I20251009000131
Address ID
TN377454637GR2000XPTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

2,335 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TN

Provider Addresses for MADYSON P CLEMENTS (DPT)

  • 2000 MONARCH PT

    GREENEVILLE, TN 377454637

    Phone: (423) 609-7997

    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: 2025-10-09

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
I20251009000131IPhysical Therapist In Private PracticeTNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 37745)

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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: 5890183107View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeTN
Occupational Therapist In Private PracticeTN
Physical Therapist In Private PracticeTN
Physical Therapist In Private PracticeTN

Reviews

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Frequently asked questions

How do I look up MADYSON P CLEMENTS (DPT) by NPI?
Use NPI 1720959877 when you need to reference MADYSON P CLEMENTS (DPT) in forms, claims, or directories.
Does this profile mean MADYSON P CLEMENTS (DPT) is currently active?
Yes — MADYSON P CLEMENTS (DPT) appears active in the national provider directory.
What kind of provider is MADYSON P CLEMENTS (DPT)?
The page reflects Physical Therapist for MADYSON P CLEMENTS (DPT). Clinical services aligned with this taxonomy classification.
Does MADYSON P CLEMENTS (DPT) practice in Tennessee?
You will see Greeneville, Tennessee on file for MADYSON P CLEMENTS (DPT) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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