Andrew Clark, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

291868 Issued in CA

Practice address

210 N Aviation Blvd
#B
Manhattan Beach, CA 90266-7015

Phone

(310) 376-9200

Fax

(310) 376-9202

NPI assigned

Aug 12, 2016

Sex

Male

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.14 of 100Reported as group

Quality

84.79

Promoting interoperability

99

Improvement activities

40

Cost

73.15

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: andrew.clarkdpt.p1@direct.bpasten.nextgenshare.com

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.

• Cedars-Sinai Medical Care Foundation

  • Specialist
  • Los Angeles, CA
  • NPI 1316984388
  Medicare reassignment Care Compare group NPD
• Head 2 Toe Physical Therapy, Inc.

  • Orthopedic Physical Therapist
  • Manhattan Beach, CA
  • NPI 1194020776
  Medicare reassignment NPD
• Sylvia a Mehl Physical Therapy Inc

  • Physical Therapist
  • Manhattan Beach, CA
  • NPI 1881788305

  Orthopedic

  NPD (past)

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

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470960000000",
    "number": "1043764525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N AVIATION BLVD",
            "address_2": "#B",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902667015",
            "telephone_number": "310-376-9200",
            "fax_number": "310-376-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N AVIATION BLVD",
            "address_2": "#B",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902667015",
            "telephone_number": "310-376-9200",
            "fax_number": "310-376-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ANDREW",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-12",
        "last_updated": "2016-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "291868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dale Choi, O.D.
• Paul Joonhyuk Choi, PMHNP-BC, FNP-C
• Christopher Walker MD, Inc
• Christy Evans MD PC
• City of Manhattan Beach
• Lori J Clark, O.D.
• Clear Recovery Center, LLC
• Ann Margaret Clevinger, DC
• Coast Pain Management, PC
• William John Cogan, D.C.

• Orthopedic Physical Therapist in Manhattan Beach, CA
• Providers in Manhattan Beach, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2016; 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.