Leroy S. Clark, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT007065L Issued in PA

Practice address

3120 Highland Rd
Hermitage, PA 16148-4512

Phone

(724) 342-2663

NPI assigned

Jun 16, 2005

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 PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Pittsburgh School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Specialty Orthopaedics, P.C.Group PAC ID 4284602715, 7 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.

• Specialty Orthopaedics, P.C.

  dba Robert W. Piston, M.D., P.C.

  • Orthopaedic Surgery Physician
  • Hermitage, PA
  • NPI 1275584161

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194393600000",
    "number": "1073518122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 HIGHLAND RD",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161484512",
            "telephone_number": "724-342-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 HIGHLAND RD",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161484512",
            "telephone_number": "724-342-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "LEROY",
        "middle_name": "S.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2007-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT007065L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018014270001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsey Chludzinski, DPT
• Christopher J. Nagle, D.P.M., P.C.
• Robert A Cicuto, DO
• Jamie Linn Cidila, M.S.P.T.
• Edward Charles Clapper
• Mary Clark
• Kimberly McCaskey Clarke, LCSW
• Scott A Clary, MS
• Clearview Treatment Center
• John W. Clemenza, DMD, MD

• Physical Therapist in Hermitage, PA
• Providers in Hermitage, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; 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.