Steven R. Clark, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

768 Issued in IA

Practice address

330 1St Street, Suite 100
Steven Clark MFR Physical Therapy
West Des Moines, IA 50265

Phone

(515) 277-6032

Fax

(515) 277-1356

NPI assigned

Aug 15, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Adel Physical Therapy, Inc

  • Physical Therapist
  • West Des Moines, IA
  • NPI 1205994662
  NPD (past) Authorized official

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512345600000",
    "number": "1063414464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 1ST STREET, SUITE 100",
            "address_2": "STEVEN CLARK MFR PHYSICAL THERAPY",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "50265",
            "telephone_number": "515-277-6032",
            "fax_number": "515-277-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 1ST STREET, SUITE 100",
            "address_2": "STEVEN CLARK MFR PHYSICAL THERAPY",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "50265",
            "telephone_number": "515-277-6032",
            "fax_number": "515-277-1356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "STEVEN",
        "middle_name": "R.",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2017-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "00768",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City of West Des Moines
• Alexa Clark
• Geraldine Marie Clark, PHARMD, BCPS
• Grant William Clark
• Melanie C Clark, TLMHC
• Thomas Clark
• Erin Clarke
• Leah Clausen, PHARMD
• George B Clavenna, DO
• Amber Clayton

• Physical Therapist in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; 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.