Ryan Alexander Clark, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

008666 Issued in KY

Practice address

3415 New Hartford Rd Unit 2
Owensboro, KY 42303-2055

Phone

(270) 684-7856

NPI assigned

Sep 13, 2022

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

Enrolled in KY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Kentucky Orthopedic Rehabilitation, LLC

  dba KORT Physical Therapy

  • Physical Therapy Clinic/Center
  • Murray, KY
  • NPI 1942948294

  Physical Therapist

  Medicare reassignment NPD
• Kentucky Orthopedic Rehabilitation LLC

  dba KORT Owensboro

  • Physical Therapy Clinic/Center
  • Owensboro, KY
  • NPI 1205140589
  NPD
• Kentucky Orthopedic Rehabilitation, LLC

  dba KORT Physical Therapy

  • Physical Therapy Clinic/Center
  • Richmond, KY
  • NPI 1295477248
  NPD

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1396467874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3414 NEW HARTFORD RD STE 2",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031705",
            "telephone_number": "270-684-7856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 NEW HARTFORD RD UNIT 2",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423032055",
            "telephone_number": "270-684-7856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "RYAN",
        "middle_name": "ALEXANDER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-13",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "008666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Clark, PHARMD.
• Lindsey Michele Clark, BIS
• Mary Lisa Clark, PHARM D
• Ritchie L Clark, M.D.
• Ronsonlyn S Clark, CADC
• Stacy Ann Clark, APRN
• Stephanie K Clark, M SP ED
• Sydne Justine Clark, M.S., OTR/L
• Tara Clark
• Teresa May Clark, MSOT, OTR/L

• Physical Therapist in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.