Active NPI
Ryan Clark, PT, DPT
- Physical Therapist
- Rogers, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT5558
- Practice address
- 5104 S Pinnacle Hills Pkwy Ste 1C
Rogers, AR 72758-6076 - Phone
- (479) 337-7345
- Fax
- (479) 239-5444
- NPI assigned
- Aug 14, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT5558 | AR | Primary |
| Physical Therapist | 225100000X | 1396643 | TX |
Addresses
Primary practice location
5104 S Pinnacle Hills Pkwy Ste 1C
Rogers, AR 72758-6076
Mailing address
2668 E Citizens Dr Ste 5
Fayetteville, AR 72703-4796
Phone (479) 595-0711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5104 S Pinnacle Hills Pkwy
Suite 1C
Rogers, AR 72758-6076
Phone (479) 337-7345
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT5558 | AR | MD | Physical Therapist |
| 1396643 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rise Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
| Rise Physical Therapy, Inc. | Current | Accepting new patients |
Locations
2668 E Citizens Dr
Ste 5
Fayetteville, AR 72703
Phone (479) 442-7473
5104 S Pinnacle Hills Pkwy
Ste 1C
Rogers, AR 72758
Phone (479) 337-7345
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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Fayetteville, AR
- NPI 1851743009
Physical Therapist
-
- Physical Therapy Clinic/Center
- Fayetteville, AR
- NPI 1104319433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759881600000",
"number": "1437981016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2668 E CITIZENS DR STE 5",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727034796",
"telephone_number": "479-595-0711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5104 S PINNACLE HILLS PKWY STE 1C",
"city": "ROGERS",
"state": "AR",
"postal_code": "727586076",
"telephone_number": "479-337-7345",
"fax_number": "479-239-5444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "RYAN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-08-14",
"last_updated": "2025-10-08",
"certification_date": "2025-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "PT5558",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1396643",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.