Active NPI
Maria Liezel Y Clark, PT
- Physical Therapist
- Las Vegas, NV
National Provider Identifier
1124275169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2230
- Practice address
- 8930 W Sunset Rd Ste 300
Las Vegas, NV 89148-5013 - Phone
- (702) 258-7788
- NPI assigned
- Aug 21, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2230 | NV | Primary |
Addresses
Primary practice location
8930 W Sunset Rd Ste 300
Las Vegas, NV 89148-5013
Mailing address
8930 W Sunset Rd Ste 300
Las Vegas, NV 89148-5013
Phone (702) 258-7788
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2230 | NV | MD | Physical Therapist |
Organizations & group practices 1
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.
-
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- Las Vegas, NV
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778630400000",
"number": "1124275169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8930 W SUNSET RD STE 300",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891485013",
"telephone_number": "702-258-7788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8930 W SUNSET RD STE 300",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891485013",
"telephone_number": "702-258-7788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "MARIA LIEZEL",
"middle_name": "Y",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-21",
"last_updated": "2026-05-13",
"certification_date": "2026-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "2230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.