Individual provider Active NPI

Clark Russell Simons, PT, DPT

  • Physical Therapist
  • Perkasie, PA
National Provider Identifier
1013722347
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT033115 Issued in PA
Practice address
230 Route 313 # Store4
Perkasie, PA 18944-3232
Phone
(267) 936-1062
NPI assigned
Feb 12, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT033115 PA Primary

Addresses

Primary practice location

230 Route 313 # Store4
Perkasie, PA 18944-3232

Mailing address

120 Allem LN
Perkasie, PA 18944-4138
Phone (267) 346-7781

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250320000949 PA Practitioner - Physical Therapist in Private Practice 7618499591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parry PT LLCGroup PAC ID 9537556956, 10 clinicians

Practice addresses (Care Compare)

230 Route 313
Suite 4
Perkasie, PA 18944-3232
Phone (267) 936-1062

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT033115PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Parry PT LLC Physical Therapist CurrentSince Feb 17, 2025 Accepting new patients
Parry PT LLC Physical Therapist CurrentSince Feb 17, 2025 Accepting new patients

Locations

1100 Circle 75 Pkwy SE
Ste 1400
Atlanta, GA 30339
Phone (678) 403-3555

230 Route 313
Ste 4
Perkasie, PA 18944
Phone 2155381999 ext. 5

723 Route 113
Ste 6
Souderton, PA 18964
Phone (215) 538-1999

723 Route 113
Souderton, PA 18964
Phone (215) 538-1999

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1739318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1013722347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 ALLEM LN",
            "city": "PERKASIE",
            "state": "PA",
            "postal_code": "189444138",
            "telephone_number": "267-346-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 ROUTE 313 # STORE4",
            "city": "PERKASIE",
            "state": "PA",
            "postal_code": "189443232",
            "telephone_number": "267-936-1062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONS",
        "first_name": "CLARK",
        "middle_name": "RUSSELL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT033115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perkasie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; 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.