Active NPI
Kendall Clark
- Neurology Physical Therapist
- Scottsdale, AZ
National Provider Identifier
1619890886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physical Therapist
- License
- LPT-034849
- Practice address
- 10601 N Frank Lloyd Wright Blvd
Scottsdale, AZ 85259-2659 - Phone
- (480) 319-7159
- NPI assigned
- Aug 3, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Neurology Physical Therapist | 2251N0400X | LPT-034849 | AZ | Primary |
Addresses
Primary practice location
10601 N Frank Lloyd Wright Blvd
Scottsdale, AZ 85259-2659
Mailing address
897 N Kingston St
Gilbert, AZ 85233-2909
Other practice location 1
3961 E Guadalupe Rd
Gilbert, AZ 85234-3266
Phone (480) 699-4845
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785715200000",
"number": "1619890886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "897 N KINGSTON ST",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852332909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10601 N FRANK LLOYD WRIGHT BLVD",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852592659",
"telephone_number": "480-319-7159"
}
],
"practiceLocations": [
{
"address_1": "3961 E Guadalupe Rd",
"address_purpose": "LOCATION",
"city": "Gilbert",
"state": "AZ",
"postal_code": "852343266",
"country_code": "US",
"telephone_number": "480-699-4845",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLARK",
"first_name": "KENDALL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-03",
"last_updated": "2026-08-03",
"certification_date": "2026-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "AZ",
"license": "LPT-034849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.