Kate Rose Clarke, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

42362 Issued in CA

Practice address

174 Del Mar Shores Ter
Solana Beach, CA 92075-2605

Phone

(858) 999-1663

NPI assigned

Nov 20, 2014

Last updated

Mar 31, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

• Adapt Physical Therapy, a Professional Corporation

  • Physical Therapy Clinic/Center
  • Escondido, CA
  • NPI 1821513888
  Authorized official Same address or phone

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

{
    "created_epoch": "1416441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1003213000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 DEL MAR SHORES TER",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920752605",
            "telephone_number": "858-999-1663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 DEL MAR SHORES TER",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920752605",
            "telephone_number": "858-999-1663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4702 Lincoln Blvd",
            "address_purpose": "LOCATION",
            "city": "Marina Del Rey",
            "state": "CA",
            "postal_code": "902926902",
            "country_code": "US",
            "telephone_number": "310-306-1478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "KATE",
        "middle_name": "ROSE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-20",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "42362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chrysalis Rising Programs
• Aliza Danielle Cicerone, N.D.
• David Andrew Cisneros, PT, DPT
• Amelia Rose Clark, PA-C
• Katherine Elizabeth Clark, MFT
• Hailey Clifford
• Cloe
• Coast Podiatry Group of Solana Beach Inc.
• Coast Podiatry Group of Solana Beach, Inc.
• Coastal Specialty Physical Therapy, Inc (COVA Physical Therapy)

• Physical Therapist in Solana Beach, CA
• Providers in Solana Beach, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.