Sara Clark, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5744 Issued in AZ

Practice address

13540 W Camino del Sol
Sun City West, AZ 85375-4434

Phone

(623) 256-7886

NPI assigned

Sep 13, 2024

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1726185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1245066307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17829 W ANDORA ST",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853885039",
            "telephone_number": "623-256-7886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13540 W CAMINO DEL SOL",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853754434",
            "telephone_number": "623-256-7886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "SARA",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AZ",
            "license": "5744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Scott Church, LAC
• Jocelyn Cipriano, RBT
• Aaron Timothy Clare, PA-C
• Lynne Marian Clark, MSW/LICSW/MFT
• Roger Clark, RPH
• Clearview Counseling Centers
• Kia Cline, PT
• Clinical Research Institute of Arizona, LLC
• Troy Coleman, DO
• Community Primary Care LLC

• Physical Therapy Assistant in Sun City West, AZ
• Providers in Sun City West, AZ by specialty
• Physical Therapy Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.