Active NPI
Devin Clark, PT
- Orthopedic Physical Therapist
- Concord, CA
National Provider Identifier
1477259125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 303469
- Practice address
- 1800 Sutter St Ste 100
Concord, CA 94520-2530 - Phone
- (925) 939-8585
- NPI assigned
- Feb 3, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 303469 | CA | Primary |
Addresses
Primary practice location
1800 Sutter St Ste 100
Concord, CA 94520-2530
Mailing address
PO Box 31396
Walnut Creek, CA 94598-8396
Phone (925) 939-8585
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden State Orthopedics & Spine | Single Specialty | Past | Accepting new patients |
Interoperability endpoints
- devin.clark.p1@direct.muirortho.nextgenshare.com
- devin.clark.p2@direct.muirortho.nextgenshare.com
Organizations & group practices 1
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.
-
- Orthopaedic Surgery Physician
- San Francisco, CA
- NPI 1457004897
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675382400000",
"number": "1477259125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31396",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945988396",
"telephone_number": "925-939-8585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 SUTTER ST STE 100",
"city": "CONCORD",
"state": "CA",
"postal_code": "945202530",
"telephone_number": "925-939-8585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "DEVIN",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-03",
"last_updated": "2023-02-03",
"certification_date": "2023-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "303469",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Concord, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.