Active NPI
Joel Clarke, DO
- Physical Therapist
- Parkville, MO
National Provider Identifier
1477425700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2024031436
- Practice address
- 6264 Lewis Dr Ste 100
Parkville, MO 64152-3603 - Phone
- (816) 587-8001
- NPI assigned
- Sep 17, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2024031436 | MO | Primary |
Addresses
Primary practice location
6264 Lewis Dr Ste 100
Parkville, MO 64152-3603
Mailing address
6264 Lewis Dr Ste 102
Parkville, MO 64152-3603
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)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2024031436 | MO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758067200000",
"number": "1477425700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6264 LEWIS DR STE 102",
"city": "PARKVILLE",
"state": "MO",
"postal_code": "641523603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6264 LEWIS DR STE 100",
"city": "PARKVILLE",
"state": "MO",
"postal_code": "641523603",
"telephone_number": "816-587-8001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARKE",
"first_name": "JOEL",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-09-17",
"last_updated": "2025-09-17",
"certification_date": "2025-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2024031436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Parkville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.