Patrice Clarke

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A6449 Issued in NC

Practice address

2200 Gum Branch Rd Ste G
Jacksonville, NC 28540-4568

Phone

(910) 353-9800

NPI assigned

Oct 20, 2017

Last updated

Oct 20, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jacksonville Physical Therapy Center, Inc.

  dba Jacksonville Physical Therapy

  • Physical Therapy Clinic/Center
  • Jacksonville, NC
  • NPI 1558546184
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508457600000",
    "number": "1134630817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1259 PINEY GREEN RD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285464530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 GUM BRANCH RD STE G",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285404568",
            "telephone_number": "910-353-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "PATRICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-20",
        "last_updated": "2017-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "A6449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephenie Ciprian
• Citizen Community Transport, LLC
• Nicole Lynn Ciulla, LCMHCA
• Stacy Clark Parchman
• Makayla Clark
• Clear Path Counseling and Consulting LLC
• Madeline Clemens, LCMHC, NCC, MA
• Tiffany Clemmey, FNP
• Clemson Sports Medicine and Rehabilitation, Inc (Sports Plus)
• Clinical Care Therapy & Wellness, PLLC

• Physical Therapy Assistant in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Physical Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2017; 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.