Aaron D Clark, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

025303 Issued in NY

Practice address

195 Blackberry Rd
Liverpool, NY 13090-3047

Phone

(315) 622-7900

Fax

(315) 622-7144

NPI assigned

Jul 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1508891607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 BLACKBERRY RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130903047",
            "telephone_number": "315-622-7900",
            "fax_number": "315-622-7144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 BLACKBERRY RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130903047",
            "telephone_number": "315-622-7900",
            "fax_number": "315-622-7144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "AARON",
        "middle_name": "D",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "025303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christiana Chiropractic Offices, PC
• Richard Francis Christiana, DC
• Cornelius Wells Christie III, LMT, CR
• Denise Daniel Chupeck, OTR/L
• Cinemedics Cny LLC
• Robert Frederick Clark, DDS
• Shannen Clark, COUNSELOR
• Stacy Clark
• Colleen Clarke, LPN
• Mary Claytor

• Physical Therapist in Liverpool, NY
• Providers in Liverpool, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.