Active NPI
Kirsten Oversby Clarke, DPT
- Physical Therapist
- Yakima, WA
National Provider Identifier
1184968190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PU 60312979
- Practice address
- 2006 W Lincoln Ave
Suite a
Yakima, WA 98902-2406 - Phone
- (509) 573-4816
- Fax
- (509) 573-4825
- NPI assigned
- Nov 15, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | PU 60312979 | WA | Primary |
Addresses
Primary practice location
2006 W Lincoln Ave
Suite a
Yakima, WA 98902-2406
Mailing address
2006 W Lincoln Ave
Suite a
Yakima, WA 98902-2406
Phone (509) 573-4816
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PU 60312979 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352937600000",
"number": "1184968190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2006 W LINCOLN AVE",
"address_2": "SUITE A",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989022406",
"telephone_number": "509-573-4816",
"fax_number": "509-573-4825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2006 W LINCOLN AVE",
"address_2": "SUITE A",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989022406",
"telephone_number": "509-573-4816",
"fax_number": "509-573-4825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARKE",
"first_name": "KIRSTEN",
"middle_name": "OVERSBY",
"name_prefix": "Mrs.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-15",
"last_updated": "2012-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PU 60312979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yakima, WA
- Jenatte Virginia Clark, ARNP
- Leah Eve Clark, LMT
- Mike L Clark, DDS
- Terry Robert Clark, PHARM D
- Carolynn Kathleen Clarke, CNM, MSN, RN
- Sean F Cleary, MD
- Michael Clement, MS, CDP
- Amanda Cathleen Clemmons, PA-C
- Kimberly Clemmons, LICSW
- Clinic for Ear Nose Throat Head & Neck Medicine & Surgery P S (Otolaryngology Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.