Jacqueline Maria Clarke, PT,DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

19799 Issued in CO

Practice address

660 Golden Ridge Rd Ste 130
Golden, CO 80401-9541

Phone

(303) 275-2190

Fax

(720) 497-6767

NPI assigned

Apr 15, 2021

Last updated

Jul 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ, CO, WA3 enrollments

Enrollment records 3

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Atlantic Physical Therapy CenterGroup PAC ID 8820168123, 117 clinicians

Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

96.68 of 100Reported as group

Quality

96.09

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Multicare Health System

  dba Multicare Neurological Surgery

  • Neurological Surgery Physician
  • Tacoma, WA
  • NPI 1497766638
  Medicare reassignment Care Compare group NPD
• Atlantic Physical Therapy Center

  • Orthopedic Physical Therapist
  • Toms River, NJ
  • NPI 1801857917
  Medicare reassignment Care Compare group
• Panorama Orthopedics and Spine Center PC

  • Orthopaedic Surgery Physician
  • Golden, CO
  • NPI 1295787950
  Medicare reassignment NPD
• Panorama Orthopedics & Spine Center, PC

  dba Rocky Mountain Spine and Sport

  • Physical Therapy Clinic/Center
  • Wheat Ridge, CO
  • NPI 1003574054
  NPD
• Panorama Orthopedics & Spine Center, PC

  • Physical Therapy Clinic/Center
  • Colorado Springs, CO
  • NPI 1194390518
  NPD
• Multicare Health System

  dba MultiCare Deaconess Retail Pharmacy

  • Community/Retail Pharmacy
  • Spokane, WA
  • NPI 1396594875
  NPD
• Multicare Health System

  dba MultiCare Rockwood Clinic

  • Internal Medicine Physician
  • Spokane, WA
  • NPI 1730687161

  Physical Therapist

  NPD
• Select Physical Therapy Holdings, Inc.

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Conifer, CO
  • NPI 1871562421
  NPD (past)
• Select Physical Therapy of West Denver Limited Partnership

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Lakewood, CO
  • NPI 1104895754
  NPD (past)
• Select Physical Therapy of West Denver Limited Partnership

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Wheat Ridge, CO
  • NPI 1942279567
  NPD (past)
• Theraphysics Partners of Colorado, Inc.

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Wheat Ridge, CO
  • NPI 1154367670
  NPD (past)
• Theraphysics Partners of Colorado, Inc.

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Golden, CO
  • NPI 1285660936

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1427639178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 GOLDEN RIDGE RD STE 130",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804019541",
            "telephone_number": "303-275-2190",
            "fax_number": "720-497-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 GOLDEN RIDGE RD STE 130",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804019541",
            "telephone_number": "303-275-2190",
            "fax_number": "720-497-6767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3620 Littledale Rd",
            "address_purpose": "LOCATION",
            "city": "Kensington",
            "state": "MD",
            "postal_code": "208953424",
            "country_code": "US",
            "telephone_number": "732-693-7152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "JACQUELINE",
        "middle_name": "MARIA",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02002000",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "19799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ PT LICENSE",
            "identifier": "40QA02002000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda L Chumbley, CRNA
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• Kylie Elizabeth Clark, PT, DPT
• Preston Clark
• Allison Lee Claypool
• Clear Creek Behavior Services LLC
• Morna Rae Clement, MA-CCC-A
• Clinical Specialty Infusions of Dallas, LLC
• Cmlee, LLC (Green Leaf Massage and Sports Recovery)

• Physical Therapist in Golden, CO
• Providers in Golden, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.