Brittany Alyssa Clark, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01789300 Issued in NJ

Practice address

2021 New Rd Ste 17
Linwood, NJ 08221-1045

Phone

(609) 926-3777

NPI assigned

May 30, 2018

Sex

Female

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 NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ipta Clinical, LLCGroup PAC ID 0749456119, 126 clinicians

Mainland Wellness and Rehabilitation Center,LLCGroup PAC ID 5597655449, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Ipta Clinical, LLC

  • Physical Therapy Clinic/Center
  • Medford, NJ
  • NPI 1760764484

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Mainland Wellness and Rehabilitation Center,LLC

  • Chiropractor
  • Linwood, NJ
  • NPI 1548314297
  Medicare reassignment Care Compare group NPD
• Jersey Shore Pelvic Health

  • Physical Therapy Clinic/Center
  • Barnegat, NJ
  • NPI 1790458628

  Physical Therapist

  Medicare reassignment NPD
• Luna Pelvic Health

  • Physical Therapy Clinic/Center
  • Egg Harbor City, NJ
  • NPI 1154277614
  NPD Authorized official
• 3 Dimensional Physical Therapy - Pelvic Health LLC

  • Physical Therapist
  • Medford, NJ
  • NPI 1275348500
  NPD (past)
• Strive Physical Therapy Specialists LLC

  • Physical Therapy Clinic/Center
  • Philadelphia, PA
  • NPI 1659962587

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1053803767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 NEW RD STE 17",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211045",
            "telephone_number": "609-926-3777",
            "fax_number": "609-926-1789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 NEW RD STE 17",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211045",
            "telephone_number": "609-926-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "BRITTANY",
        "middle_name": "ALYSSA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-30",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01789300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norman S Chazin, M.D.
• Alan H Chenman, DMD
• Danielle Chesney, PSY.D.
• Robert L Chorney, PSYD
• Lauren Cincotta, PA-C
• Classic Eyewear Inc.
• Frederick Clement
• Coastal Jersey Eye Center LLC
• Coastal Oral & Maxillofacial Surgeons, PA
• Gayle Cogan, DPT

• Physical Therapist in Linwood, NJ
• Providers in Linwood, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; 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.