Clark Inovejas, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT31653 Issued in FL

Practice address

4423 Park Blvd N
Live Better Health Center
Pinellas Park, FL 33781-3540

Phone

(727) 827-2825

NPI assigned

Aug 5, 2016

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• LBH Med Group LLC

  • Health Service Clinic/Center
  • Pinellas Park, FL
  • NPI 1639620651
  NPD (past)
• Live Better Health Center, LLC

  • Health Service Clinic/Center
  • Pinellas Park, FL
  • NPI 1669757738
  NPD (past)

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

{
    "created_epoch": "1470355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470355200000",
    "number": "1033663232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4423 PARK BLVD N",
            "address_2": "LIVE BETTER HEALTH CENTER",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337813540",
            "telephone_number": "727-827-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4423 PARK BLVD N",
            "address_2": "LIVE BETTER HEALTH CENTER",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337813540",
            "telephone_number": "727-827-2825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INOVEJAS",
        "first_name": "CLARK",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-05",
        "last_updated": "2016-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT31653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ih Health Care Investments LLC
• Imagine Orthodontic Studio
• Benjamin Immerman
• Infucenters LLC
• Deborah Ingram, NBC-HWC
• Inspired Senior Living of Pinellas Park Mt, LLC
• Integrative Physician Associates, LLC
• Kathleen Issler, APRN
• Venkata SSN Iyunni, MD
• Ujwala R Iyyunni, MD

• Physical Therapist in Pinellas Park, FL
• Providers in Pinellas Park, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; 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.