Provider Demographics
NPI:1912055021
Name:CLAPPS, ANTHONY ERNEST (PT)
Entity Type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:ERNEST
Last Name:CLAPPS
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 LAN CREEK RD
Mailing Address - Street 2:
Mailing Address - City:PLAINS TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:18702-8011
Mailing Address - Country:US
Mailing Address - Phone:570-822-5078
Mailing Address - Fax:570-270-2698
Practice Address - Street 1:575 E MAIN ST
Practice Address - Street 2:SUITE C
Practice Address - City:PLAINS TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:18702-6981
Practice Address - Country:US
Practice Address - Phone:570-270-2690
Practice Address - Fax:570-270-2698
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT010108L225100000X
SC4537225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA396832Medicare ID - Type Unspecified