Individual provider Active NPI

Naomi Clark, PT, DPT

  • Physical Therapist
  • Kennesaw, GA
National Provider Identifier
1346609872
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT009984 Issued in GA
Practice address
4381 Bells Ferry Rd NW
Kennesaw, GA 30144-1309
Phone
(828) 393-5168
Fax
(865) 951-7273
NPI assigned
Feb 11, 2016
Last updated
Feb 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT009984 GA Primary

Addresses

Primary practice location

4381 Bells Ferry Rd NW
Kennesaw, GA 30144-1309

Mailing address

3243 Heritage Cir
Hendersonville, NC 28791-3553
Phone (828) 393-5168

Other names 1

  • Naomi Cook Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250416001189 GA Practitioner - Physical Therapist in Private Practice 0042735649 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Medical College of Georgia School of Medicine, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Transperfect Health CorpGroup PAC ID 3173982287, 33 clinicians
Servant Rehabilitation IncGroup PAC ID 5395168629, 18 clinicians

Practice addresses (Care Compare)

1170 Peachtree St NE
Suite 1600
Atlanta, GA 30309-7674
Phone (570) 854-1632

4381 Bells Ferry Rd NW
Kennesaw, GA 30144-1309
Phone (828) 713-0560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Transperfect Health Corp Physical Therapist CurrentSince Feb 24, 2025 Accepting new patients
Servant Rehabilitation, Inc. Physical Therapist CurrentSince Dec 28, 2024 Accepting new patients

Locations

1170 Peachtree St NE
Ste 1600
Atlanta, GA 30309
Phone (570) 854-1632

4381 Bells Ferry Rd NW
Kennesaw, GA 30144
Phone (724) 816-1800

1962 Eagle Dr
Woodstock, GA 30189
Phone (724) 816-1800

1250 Broadway
Fl 32
New York, NY 10001
Phone (212) 290-6447

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1346609872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3243 HERITAGE CIR",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287913553",
            "telephone_number": "828-393-5168",
            "fax_number": "865-951-7273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4381 BELLS FERRY RD NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441309",
            "telephone_number": "828-393-5168",
            "fax_number": "865-951-7273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "NAOMI",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-11",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT009984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NAOMI",
            "last_name": "COOK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.