Spencer Clark

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1952 E 7000 S
Salt Lake City, UT 84121-6877

Phone

(801) 942-3311

Fax

(801) 495-5303

NPI assigned

Dec 17, 2012

Last updated

Dec 17, 2012By the provider in NPPES

Sex

Male

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

Enrolled in UT, OH, GA, CO, TX5 enrollments

Enrollment records 5

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Integrated ClinixGroup PAC ID 0941636872, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• Direct secure messaging: sclarkpt@ic-ut.direct.office.nextgen.com

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Primary Home Health

  • Home Health Agency
  • Lehi, UT
  • NPI 1770295438

  5% Or Greater Indirect Ownership Interest, Corporate Officer

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Home Clinix Utah LLC

  • Specialist
  • Cedar Hills, UT
  • NPI 1891455895

  Physical Therapist

  Medicare reassignment NPD Authorized official
• Home Clinix Texas LLC

  • General Practice Physician
  • San Antonio, TX
  • NPI 1447932793

  Physical Therapist

  Medicare reassignment NPD Authorized official
• Lymphedema Clinix Texas LLC

  • Physical Therapist
  • San Antonio, TX
  • NPI 1861200073
  Medicare reassignment NPD Authorized official
• Integrated Clinix

  • Multi-Specialty Clinic/Center
  • Cedar Hills, UT
  • NPI 1659931384

  CO, GA, OH

  Medicare reassignment Care Compare group
• Integrated Clinix

  • Multi-Specialty Clinic/Center
  • Cedar Hills, UT
  • NPI 1477166098

  Physical Therapist

  NPD (past) Authorized official
• Primary Home Health

  • Home Health Agency
  • Lehi, UT
  • NPI 1770295438
  NPD (past) Authorized official

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

{
    "created_epoch": "1355702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355702400000",
    "number": "1245576487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 711185",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841711185",
            "telephone_number": "801-942-3311",
            "fax_number": "801-495-5303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1952 E 7000 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841216877",
            "telephone_number": "801-942-3311",
            "fax_number": "801-495-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "SPENCER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-17",
        "last_updated": "2012-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Jack Clark, PEER SUPPORT
• Sam Burk Clark
• Sara Clark
• Sara Jean Clark
• Scott A Clark, DPM
• Stan Reed Clark, D.M.D
• Sydnie Ann Clark
• Thomas Clark
• Walker Dean Clark, DDS
• William Matt Clark, MD

• Physical Therapist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.