Gregory D Clark, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

021617 Issued in NY

Practice address

1854 Stone Rd
Plaza Sports Medicine and Rehabilitation
Rochester, NY 14615

Phone

(585) 581-0300

Fax

(585) 581-0365

NPI assigned

Jun 6, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Lake Country Physical Therapy & Sportscare, PC

  • Physical Therapist
  • Canandaigua, NY
  • NPI 1003958653
  NPD (past)
• Plaza Sports Medicine & Rehabilitation PC

  • Physical Therapy Clinic/Center
  • Rochester, NY
  • NPI 1164478285

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1295774792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 BUCKLEBURY HILL",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "14450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1854 STONE RD",
            "address_2": "PLAZA SPORTS MEDICINE AND REHABILITATION",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14615",
            "telephone_number": "585-581-0300",
            "fax_number": "585-581-0365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "GREGORY",
        "middle_name": "D",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "021617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chaynna Clark, LMHC
• Crystal Clark
• Danielle Clark, NP
• Deborah Clark, RN
• Emily Clark, DO
• Gregory T Clark, RPH, BCOP
• Jadira Jannisse Clark
• James Clark, RPH
• John C Clark, CRNA
• Katherine Henderson Clark, PSY. D.

• Physical Therapist in Rochester, NY
• Providers in Rochester, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.