Alicia Kohn Clark

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305209545 Issued in VA

Practice address

101 Manning Dr
Chapel Hill, NC 27514-4220

Phone

(984) 974-5300

NPI assigned

Jun 3, 2015

Sex

Female

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)

Not 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.

• Fleming Therapy Services, LLC

  • Speech-Language Pathologist
  • Stafford, VA
  • NPI 1194925818

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1396125522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2765 JEFFERSON DAVIS HIGHWAY",
            "address_2": "SUITE 203",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225549411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MANNING DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275144220",
            "telephone_number": "984-974-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ALICIA",
        "middle_name": "KOHN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-03",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305209545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alana Luna Ferreira Cisneros
• Hilary Stewart Cissokho
• Rachel Katharine Civale, DNP, CRNA
• Mya Clark-Beadle
• Sean Clark-Garvey, M.D.
• Angela Scott Clark, PHARMD
• Anne Clark
• Candice Pike Clark, N.P.
• Emily Claire Clark, LCSW, LCAS
• Hollins Peel Clark, MD

• Physical Therapist in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2019; 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.