Active NPI
Allison Dean Clarke, DPT
- Physical Therapist
- Lexington, KY
National Provider Identifier
1104349596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 00736
- Practice address
- 424 Lewis Hargett Cir Ste B100
Lexington, KY 40503-3683 - Phone
- (859) 475-4305
- NPI assigned
- Jul 18, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 00736 | KY | Primary |
| Physical Therapist | 225100000X | PT6263 | MS |
Addresses
Primary practice location
424 Lewis Hargett Cir Ste B100
Lexington, KY 40503-3683
Mailing address
4225 Victoria Way
Lexington, KY 40515-4822
Phone (859) 537-7577
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00736 | KY | MD | Physical Therapist |
| PT6263 | MS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergy Myofascial Release & Rehab, Inc. | Physical Therapist | Current | Accepting new patients |
| Agilitas USA Inc | Past | Accepting new patients | |
| Drayer Physical Therapy Mississippi LLC | Physical Therapist | Past | Accepting new patients |
Locations
115 Village Sq
Ste E
Brandon, MS 39047
Phone (601) 398-3171
437 Katherine Dr
Ste E
Flowood, MS 39232
437 Katherine Dr
Flowood, MS 39232
Phone (601) 398-3171
Organizations & group practices 3
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.
-
- Physical Therapy Clinic/Center
- Brandon, MS
- NPI 1093109639
Physical Therapist
-
- Physical Therapy Clinic/Center
- Louisville, KY
- NPI 1609117811
-
- Physical Therapist
- Louisville, MS
- NPI 1952732448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741046400000",
"number": "1104349596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4225 VICTORIA WAY",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405154822",
"telephone_number": "859-537-7577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "424 LEWIS HARGETT CIR STE B100",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405033683",
"telephone_number": "859-475-4305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARKE",
"first_name": "ALLISON",
"middle_name": "DEAN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-18",
"last_updated": "2025-03-04",
"certification_date": "2025-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "00736",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "PT6263",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.