Angel Lee Clarke, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306604246 Issued in VA

Practice address

7015 Carnation St Apt 214
Richmond, VA 23225-5234

Phone

(919) 327-9666

NPI assigned

Mar 2, 2017

Last updated

Mar 2, 2017By 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 2

Addresses

Other names 1

• Angel Lee Salmon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488412800000",
    "number": "1548700065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MONTGOMERY DR",
            "city": "RUTHER GLEN",
            "state": "VA",
            "postal_code": "225461137",
            "telephone_number": "804-306-0698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7015 CARNATION ST APT 214",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232255234",
            "telephone_number": "919-327-9666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "ANGEL",
        "middle_name": "LEE",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-02",
        "last_updated": "2017-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306604246",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "0019004787",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGEL",
            "last_name": "SALMON",
            "middle_name": "LEE",
            "credential": "LPTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael J Clark, RPH
• Ralph Raymond Clark III, M.D.
• Sarah W Clark, PHD
• Stephen Clark, MD
• William Bennett Clark, MD
• Caroline Clarke
• Curlene Clarke, NP
• Jennifer Nicole Clarke, FNP
• Kelsey Clarke, MSW, LCSW
• Karen Sue Clarkson, FNP

• Physical Therapy Assistant in Richmond, VA
• Providers in Richmond, VA by specialty
• Physical Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; 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.