Cortney Gwyn Clark

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5854 Issued in TN

Practice address

410 Leopper Rd
Harriman, TN 37748-3969

Phone

(865) 809-4731

NPI assigned

Nov 2, 2026

Last updated

Nov 2, 2026By 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

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

{
    "created_epoch": "1793577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793577600000",
    "number": "1184523896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 LEOPPER RD",
            "city": "HARRIMAN",
            "state": "TN",
            "postal_code": "377483969",
            "telephone_number": "865-809-4731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 LEOPPER RD",
            "city": "HARRIMAN",
            "state": "TN",
            "postal_code": "377483969",
            "telephone_number": "865-809-4731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "CORTNEY",
        "middle_name": "GWYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-11-02",
        "last_updated": "2026-11-02",
        "certification_date": "2026-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "5854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Champion Physical Therapy LLC Halls (CORA Physical Therapy - Harriman)
• Geri Marie Childs
• Cassandra Claborn
• Joshua David Clark-Fuqua, MD
• Katlyn Bailey Clark-Fuqua, MD
• Douglas Marley Clark, PAC
• Clary Foote MD P.C.
• Clary Foote MD PC
• CLC of Harriman, LLC (Renaissance Terrace)
• Deborah L Clem, D.PH.

• Physical Therapy Assistant in Harriman, TN
• Providers in Harriman, TN by specialty
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.