JACE CLINKENBEARD PT, DPT
NPI 1992512206
Physical Therapist in Pawnee, OK

Active since December 11, 2024
1201 HERITAGE CIR, PAWNEE, OK 74058(918) 762-2517 Get Directions Write a Review

NPPES record last updated: December 16, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 16, 2024, Dec 11, 2024 (2 updates tracked since 2024).

About Jace Clinkenbeard Pt, Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACE CLINKENBEARD PT, DPT (NPI 1992512206) is an individual physical therapist in Pawnee, Oklahoma, licensed in Oklahoma (6644) and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1992512206
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameJACE CLINKENBEARDCredential: PT, DPT
Location Address1201 HERITAGE CIRPawnee, OK 74058-3744
Mailing Address116 Leaning Tree RdFort Gibson, OK 74434-7611 · (918) 685-0935
Sole ProprietorNo
Enumeration DateDecember 11, 2024
Last NPPES UpdateDecember 16, 20242 updates tracked since enumeration
NPPES CertifiedDecember 16, 2024
✔ NPI 1992512206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in OK · 6644
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1201 HERITAGE CIR, Pawnee, OK 74058

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jace Clinkenbeard Pt, Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Jace Clinkenbeard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinic/Center
1201 HERITAGE CIR
Pawnee, OK 74058
  • Reassigned Medicare billing, Texas enrollment
  • 143 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (Community Health)
1201 HERITAGE CIR
PAWNEE, OK 74058
Family Medicine
1201 HERITAGE CIR
PAWNEE, OK 74058
Dental Hygienist
1201 HERITAGE CIR
PAWNEE, OK 74058
Pharmacist
1201 HERITAGE CIR
PAWNEE, OK 74058
Nurse Practitioner (Family)
1201 HERITAGE CIR
PAWNEE, OK 74058
Nurse Practitioner (Psychiatric/Mental Health)
1201 HERITAGE CIR
PAWNEE, OK 74058
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
1201 HERITAGE CIR
PAWNEE, OK 74058
Registered Nurse (Community Health)
1201 HERITAGE CIR
PAWNEE, OK 74058

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jace Clinkenbeard's NPI number?

The NPI number for Jace Clinkenbeard is 1992512206. It was assigned to this individual provider in the NPPES registry on December 11, 2024.

Where is Jace Clinkenbeard located?

Jace Clinkenbeard practices at 1201 Heritage Cir, Pawnee, OK 74058. The listed phone number is (918) 762-2517.

What is Jace Clinkenbeard's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Jace Clinkenbeard enrolled in Medicare?

Yes. Jace Clinkenbeard is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jace Clinkenbeard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jace Clinkenbeard reassigns Medicare benefits to Pawnee Indian Health Center (Pawnee, OK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jace Clinkenbeard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jace Clinkenbeard was last updated on December 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.