Individual provider Active NPI

James R Clarke, P.T.

  • Physical Therapist
  • Rockville, MD
National Provider Identifier
1609891183
Registry record updated May 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15975 Issued in MD
Practice address
11820 Parklawn Dr
Suite 180
Rockville, MD 20852-2529
Phone
(301) 770-3133
Fax
(301) 770-3015
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 15975 MD Primary

Addresses

Primary practice location

11820 Parklawn Dr
Suite 180
Rockville, MD 20852-2529

Mailing address

11820 Parklawn Dr
Suite 180
Rockville, MD 20852-2529
Phone (301) 770-3133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120215000155 DC Practitioner - Physical Therapist in Private Practice 9739137506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
James R. Clarke, P.T.,P.a.Group PAC ID 9830147693, 2 clinicians

Practice addresses (Care Compare)

11820 Parklawn Dr
Suite 180
Rockville, MD 20852-2529
Phone (301) 770-3133

Merit-based Incentive Payment System (MIPS)

Final score
26.62 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
88.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15975MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
James R. Clarke, P.T.,P.a. Physical Therapist CurrentSince Mar 1, 1992 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

11820 Parklawn Dr
Ste 180
Rockville, MD 20852
Phone (301) 770-1306

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211932800000",
    "number": "1609891183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11820 PARKLAWN DR",
            "address_2": "SUITE 180",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208522529",
            "telephone_number": "301-770-3133",
            "fax_number": "301-770-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11820 PARKLAWN DR",
            "address_2": "SUITE 180",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208522529",
            "telephone_number": "301-770-3133",
            "fax_number": "301-770-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "JAMES",
        "middle_name": "R",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2008-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "15975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.