Corrie Quin Clark, P.T.A.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2306603106 Issued in VA

Practice address

19500 Sandridge Way Ste 230
Leesburg, VA 20176-3689

Phone

(703) 724-7272

Fax

(703) 724-9232

NPI assigned

Sep 23, 2011

Last updated

Feb 8, 2013By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Progress Rehabilitation Network LLC

  • Physical Therapist
  • Glen Allen, VA
  • NPI 1760434948
  NPD (past)

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

{
    "created_epoch": "1316736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360281600000",
    "number": "1528341807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19500 SANDRIDGE WAY STE 230",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201763689",
            "telephone_number": "703-724-7272",
            "fax_number": "703-724-9232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19500 SANDRIDGE WAY STE 230",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201763689",
            "telephone_number": "703-724-7272",
            "fax_number": "703-724-9232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "CORRIE",
        "middle_name": "QUIN",
        "credential": "P.T.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-23",
        "last_updated": "2013-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2306603106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yu-Ting Julie Chung, O.D.
• Regina Marie Church-Hayes, M.S., CCC-SLP
• Jennifer L Cich, LCSW
• Helen Cicirello
• Oana Cioabla, DDS
• Kent Edward Clark, D.C.
• Ronald Austin Clark, LCSW
• Esther Adom Clarke
• Clegg Chiropractic P C
• Bradley Calvin Clegg, DC

• Physical Therapist in Leesburg, VA
• Providers in Leesburg, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2013; 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.