Terry L Clark, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

649-025 Issued in WI

Practice address

728 Pennsylvania Ave
Sheboygan, WI 53081-4669

Phone

(920) 803-8014

Fax

(920) 803-8015

NPI assigned

Mar 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1326008277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1127",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530821127",
            "telephone_number": "920-457-6750",
            "fax_number": "920-457-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 PENNSYLVANIA AVE",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530814669",
            "telephone_number": "920-803-8014",
            "fax_number": "920-803-8015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "TERRY",
        "middle_name": "L",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WI",
            "license": "649-025",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "UT",
            "license": "105334-0501",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43213700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aaron Lee Cicchese, OTR
• Katie Jo Cicchese, DPT
• Lynn Ann Cisewski, MS-CCC/SLP
• City of Sheboygan
• Amy Jo Clark, APNP
• Aaron Clayborn, SACIT
• Allison Cleereman
• Katherine C Cleveland, MD
• Robert E Cline, DDS
• John C Coates, M.D.

• Podiatrist in Sheboygan, WI
• Providers in Sheboygan, WI by specialty
• Podiatrist in Wisconsin

• 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.