Jessica I Clark, LPTA
Individual provider Active NPI Physical Therapy Assistant · Lexington, VA
NPI 1104731389 · NPPES record last updated Aug 14, 2026
Key facts
- NPI
- 1104731389
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2306605516 (VA)
- Practice address
- 160 Kendal Dr Apt 200
Lexington, VA 24450-1790 - Phone
- (549) 463-1910
- NPI assigned
- Aug 14, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2306605516 | VA | Yes |
Addresses
Primary practice location
160 Kendal Dr Apt 200
Lexington, VA 24450-1790
Mailing address
PO Box 673
Troutville, VA 24175-0673
Other providers in Lexington, VA
- Tamara Christie
- City of Lexington
- Michael D Clague
- Carl Michael Clarito
- Jamie Chapman Clark
- Roger Lee Clevinger Jr.
- Dana Coddington
- Commonwealth of Virginia State Board of Health
- Hannah Conger
- Jill Conley
All providers in Lexington, VA · Physical Therapy Assistant in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.