Christina Clark

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

65043 Issued in OR

Practice address

260 W Broadway
Eugene, OR 97401-3037

Phone

(541) 357-3839

NPI assigned

Aug 3, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in WA, OR2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Duality Pelvic Health and Wellness PLLC

  • Physical Therapist
  • Eugene, OR
  • NPI 1205697075
  Medicare reassignment NPD Authorized official
• Grays Harbor Community Hospital

  • General Acute Care Hospital
  • Aberdeen, WA
  • NPI 1154378859
  Medicare reassignment NPD
• Therapy Solutions PLLC

  • Physical Therapist
  • Richland, WA
  • NPI 1104830025
  Medicare reassignment NPD
• Grays Harbor Community Hospital

  • Clinic/Center
  • Westport, WA
  • NPI 1497510333
  NPD
• Grays Harbor Community Hospital

  • Rural Health Clinic/Center
  • Aberdeen, WA
  • NPI 1821573965
  NPD
• Physiotherapy Associates Inc

  • Physical Therapy Clinic/Center
  • Estero, FL
  • NPI 1720039902
  NPD (past)

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1164975439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4729 SYMPHONY DR",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974044118",
            "telephone_number": "541-357-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 W BROADWAY",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013037",
            "telephone_number": "541-357-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "CHRISTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-03",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "31800",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "60837923",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "65043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam William Clark, PTA
• April Shannon Clark, LPC-ASSOCIATE R7809
• Breanne Ariel Clark
• Caitlin Alexandra Clark, BA, CADC I
• Camm D. Clark, LCSW
• Crystal L Clark, RC
• Eric Franklin Clark
• Georganne M. Clark, C.P.M.
• Harold Ulice Clark, ADDICTIONS THERAPIST
• Jeremy Joseph Clark

• Physical Therapist in Eugene, OR
• Providers in Eugene, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.