Shelley Clark, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2157 Issued in MT

Practice address

2803 Rockridge CT Apt 5
Missoula, MT 59808-9048

Phone

(605) 661-0879

NPI assigned

Aug 25, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Sanford School of Medicine of University of South Dakota, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Heuiser Physical Therapy PCGroup PAC ID 6901892231, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Heuiser Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Helena, MT
  • NPI 1922109628

  Physical Therapist

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314230400000",
    "number": "1003196718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2803 ROCKRIDGE CT APT 5",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598089048",
            "telephone_number": "605-661-0879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2803 ROCKRIDGE CT APT 5",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598089048",
            "telephone_number": "605-661-0879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "SHELLEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-25",
        "last_updated": "2011-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "2759",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "1544",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "2157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clark Fork Occupational Therapy
• Dessye-Dee M Clark, ARNP, PHD
• Marissa Clark, MS, CGC
• Michael L Clark, DC
• Rita Cunneen Clark, PHARMD RPH
• Will Clark
• Aleksandra Clarke
• Clarus Ime of Montana LLC
• Melissa Anne Clater, LCSW
• Pamela Marie Clausen, LCPC

• Physical Therapist in Missoula, MT
• Providers in Missoula, MT by specialty
• Physical Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.