Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carly Clevenger

Individual provider Physical Therapist · NPI 1861054934

Carly Clevenger is a Physical Therapist in Private Practice in Noblesville, Indiana. Qualified in 2019, 7 years ago. Practices as a sole proprietor. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2019
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Practice location Address checks out

14379 Black Farm Dr
Noblesville, IN 46060-7261
Phone: (219) 776-5668
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 296696 (CA)

Record details

NPI number1861054934
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 28, 2019
Last updated in NPPESOctober 27, 2024
Certification dateOctober 27, 2024
Mailing address14379 Black Farm Dr, Noblesville, IN 46060-7261

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated

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