Active NPI
Janet Mirella Clark, P.T.
- Physical Therapist
- Swarthmore, PA
National Provider Identifier
1245467364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT0113929L
- Practice address
- 223 S Chester Rd
Swarthmore, PA 19081-1929 - Phone
- (610) 544-7061
- NPI assigned
- Jun 16, 2009
- Last updated
- Jun 16, 2009
- 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 | PT0113929L | PA | Primary |
Addresses
Primary practice location
223 S Chester Rd
Swarthmore, PA 19081-1929
Mailing address
223 S Chester Rd
Swarthmore, PA 19081-1929
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT013929L | Other | PA | PA |
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 |
|---|---|---|---|
| PT0113929L | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245110400000",
"number": "1245467364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "223 S CHESTER RD",
"city": "SWARTHMORE",
"state": "PA",
"postal_code": "190811929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 S CHESTER RD",
"city": "SWARTHMORE",
"state": "PA",
"postal_code": "190811929",
"telephone_number": "610-544-7061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "JANET",
"middle_name": "MIRELLA",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-16",
"last_updated": "2009-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT0113929L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA",
"identifier": "PT013929L",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Swarthmore, PA
- Sarah W. Chenkin, PH.D.
- Thomas Lawrence Chermol Jr., DDS
- Children and Adult Disabiilty and Educational Services (Cades)
- Stephanie Ann Chuipek, MD
- Cindi Clark
- Mari L Clements, M.S., R.D.
- Communities of Don Guanella and Divine Providence
- Community Interactions, Inc.
- William Francis Connell IV, PT, DPT
- Andrew Joseph Coste, D.M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.