Steven Donald Clark, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

02886 Issued in IA

Practice address

2220 Mormon Trek Blvd
Iowa City, IA 52246-4435

Phone

(319) 366-1886

Fax

(319) 366-1611

NPI assigned

Sep 15, 2006

Last updated

Aug 20, 2013By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kepros Physical Therapy and Performance PCGroup PAC ID 7719105063, 19 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.

• Kepros Physical Therapy and Performance, P.C.

  • Physical Therapy Clinic/Center
  • Cedar Rapids, IA
  • NPI 1457779019

  Orthopedic

  Medicare reassignment Care Compare group NPD
• Iowa Physical Therapy PC

  dba Cedar Hand Therapy

  • Occupational Medicine Clinic/Center
  • Cedar Rapids, IA
  • NPI 1386716074
  NPD (past)

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376956800000",
    "number": "1023114576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 MORMON TREK BLVD",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522464435",
            "telephone_number": "319-366-1886",
            "fax_number": "319-366-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 MORMON TREK BLVD",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522464435",
            "telephone_number": "319-366-1886",
            "fax_number": "319-366-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "STEVEN",
        "middle_name": "DONALD",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2013-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IA",
            "license": "02886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0665430",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Marie Doran Clark, LISW
• Kaitlyn Clark, MS, LGC
• Leah Clark
• Natasha Leigh Clark, ARNP
• Stephanie Y Clark, CPNP
• Steven Heyen Clark, DDS
• Tacie A Clark
• Teresa Joan Clark, RD, LD
• Toniel Clark
• Vicki Lynn Clark, LCSW

• Orthopedic Physical Therapist in Iowa City, IA
• Providers in Iowa City, IA by specialty
• Orthopedic Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; 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.