Active NPI
Ryan N. Clark, MS, ATC/R, CSCS
- Athletic Trainer
- North Kansas City, MO
National Provider Identifier
1114924149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2003022245
- Practice address
- 1931 Burlington St
North Kansas City, MO 64116-3407 - Phone
- (816) 241-2131
- Fax
- (816) 241-0551
- NPI assigned
- Jul 6, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2003022245 | MO | Primary |
Addresses
Primary practice location
1931 Burlington St
North Kansas City, MO 64116-3407
Mailing address
8804 NE 73Rd Ter
Kansas City, MO 64158-1088
Phone (816) 781-0270
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2003022245 | MO | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1114924149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8804 NE 73RD TER",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641581088",
"telephone_number": "816-781-0270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1931 BURLINGTON ST",
"city": "NORTH KANSAS CITY",
"state": "MO",
"postal_code": "641163407",
"telephone_number": "816-241-2131",
"fax_number": "816-241-0551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "RYAN",
"middle_name": "N.",
"credential": "MS, ATC/R, CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-06",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MO",
"license": "2003022245",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.