Individual provider Active NPI

Tyler Aaron Clark, DPT

  • Physical Therapist
  • Huntersville, NC
National Provider Identifier
1427310069
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P25009 Issued in NC
Practice address
13024 Eastfield Rd Ste A600
Huntersville, NC 28078-6604
Phone
(980) 288-5440
Fax
(704) 727-0946
NPI assigned
Jun 11, 2012
Last updated
Aug 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P25009 NC Primary
Orthopedic Physical Therapist 2251X0800X 14769 TN

Addresses

Primary practice location

13024 Eastfield Rd Ste A600
Huntersville, NC 28078-6604

Mailing address

PO Box 749
Belmont, NC 28012-0749
Phone (704) 869-2088

Other practice location 1

2100 Swift Ave
North Kansas City, MO 64116-3426
Phone (816) 474-8877

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250110002001 TN Practitioner - Physical Therapist in Private Practice 9830334424 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beyond Physical Therapy at Berry FarmsGroup PAC ID 0143693580, 9 clinicians

Practice addresses (Care Compare)

3100 Village Plains Dr
Suite 160
Franklin, TN 37064-4114
Phone (629) 239-3170

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14769TNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Physical Therapy at Berry Farms Physical Therapist CurrentSince Nov 1, 2024 Accepting new patients
KC Chiro, LLC PastSince Nov 8, 2024 Accepting new patients
Comprehab LLC Physical Therapist Past Accepting new patients
Northland Physical Therapy & Rehab Services, Inc Physical Therapist PastSince Jun 1, 2004 Accepting new patients

Locations

3100 Village Plains Blvd
Ste 160
Franklin, TN 37064
Phone (629) 239-2691

Organizations & group practices 4

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": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1427310069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280120749",
            "telephone_number": "704-869-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13024 EASTFIELD RD STE A600",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280786604",
            "telephone_number": "980-288-5440",
            "fax_number": "704-727-0946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Swift Ave",
            "address_purpose": "LOCATION",
            "city": "North Kansas City",
            "state": "MO",
            "postal_code": "641163426",
            "country_code": "US",
            "telephone_number": "816-474-8877",
            "fax_number": "816-474-8878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "TYLER",
        "middle_name": "AARON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-11",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P25009",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TN",
            "license": "14769",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.