Adam Clark, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10386 Issued in TN

Practice address

6070 S 1St St Ste D
Milan, TN 38358-3186

Phone

(731) 613-2214

Fax

(731) 613-2215

NPI assigned

Jun 18, 2015

Last updated

Jun 18, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in TN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dynamix Physical Therapy LLCGroup PAC ID 5193873933, 46 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dynamix Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Milan, TN
  • NPI 1669619268
  Medicare reassignment Care Compare group NPD
• Kerry D. Friesen, M.D. PC

  • Internal Medicine Physician
  • Chattanooga, TN
  • NPI 1316052624
  NPD (past)
• Dynamix Physical Therapy LLC

  dba MS Dynamix Physical Therapy

  • Physical Therapist
  • Corinth, MS
  • NPI 1962295576
  NPD (past)
• Star Physical Therapy LP

  • Physical Therapist
  • Caruthersville, MO
  • NPI 1073375861
  NPD (past)

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434585600000",
    "number": "1003297706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6070 S 1ST ST STE D",
            "address_2": "P.O. BOX 1004",
            "city": "MILAN",
            "state": "TN",
            "postal_code": "383583186",
            "telephone_number": "731-613-2214",
            "fax_number": "731-613-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6070 S 1ST ST STE D",
            "city": "MILAN",
            "state": "TN",
            "postal_code": "383583186",
            "telephone_number": "731-613-2214",
            "fax_number": "731-613-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ADAM",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-18",
        "last_updated": "2015-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "10386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Callins, PT, DPT
• Brooke Canovan
• Caris Healthcare
• Christina Cecotto, LCSW
• Elane Ruth Childress, RN
• Jackson David Clouse
• Joyce Flory Coleman, RN
• Ashley Nichole Collins, COTA/L
• Jennifer Marie Cooper
• Peyton Brice Cooper, PT, DPT

• Physical Therapist in Milan, TN
• Providers in Milan, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.