Individual provider Active NPI

Allison Dean Clarke, DPT

  • Physical Therapist
  • Lexington, KY
National Provider Identifier
1104349596
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
00736 Issued in KY
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

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
00736KYMDPhysical Therapist
PT6263MSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Myofascial Release & Rehab, Inc. Physical Therapist CurrentSince Aug 5, 2019 Accepting new patients
Agilitas USA Inc Past Accepting new patients
Drayer Physical Therapy Mississippi LLC Physical Therapist PastSince Apr 17, 2023 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.

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.

Verify at the official NPI Registry.