Organization Active NPI

James R. Clarke, P.T.,P.a.

  • Physical Therapist
  • Rockville, MD
National Provider Identifier
1306999701
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15975 Issued in MD
Legal business name
JAMES R. CLARKE, P.T.,P.A.
Practice address
11820 Parklawn Dr
Suite 180
Rockville, MD 20852-2529
Phone
(301) 770-3133
Fax
(301) 770-3015
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. James Richard Clarke, P.T.NPI 1609891183
Title
President
Phone
(301) 770-3133

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 15975 MD Primary

Addresses

Primary practice location

11820 Parklawn Dr
Suite 180
Rockville, MD 20852-2529

Mailing address

11820 Parklawn Dr
Suite 180
Rockville, MD 20852-2529
Phone (301) 770-3133

Other identifiers 2

IdentifierTypeStateIssuer
LZ29JAOtherMDCAREFIRST GROUP NUMBER
S881OtherMDCAREFIRST DC GROUP NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050107000696 DC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9830147693 Receives reassigned benefits from 1 practitioner
Practice locations: Damascus, MD; Rockville, MD

National Provider Directory

National Provider Directory

Locations

9888 Main St
Damascus, MD 20872
Phone (301) 770-3133

11119 Rockville Pike
Ste 209
Rockville, MD 20852
Phone (301) 231-0050

11820 Parklawn Dr
Ste 180
Rockville, MD 20852
Phone (301) 770-1306

11820 Parklawn Dr
Rockville, MD 20852
Phone (301) 881-2273

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306999701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11820 PARKLAWN DR",
            "address_2": "SUITE 180",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208522529",
            "telephone_number": "301-770-3133",
            "fax_number": "301-770-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11820 PARKLAWN DR",
            "address_2": "SUITE 180",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208522529",
            "telephone_number": "301-770-3133",
            "fax_number": "301-770-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES R. CLARKE, P.T.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-770-3133",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "15975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST GROUP NUMBER",
            "identifier": "LZ29JA",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST DC GROUP NUMBER",
            "identifier": "S881",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.