Active NPI
Christopher R Clock, PT
- Physical Therapist
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTL19687
- Practice address
- 660 Beacon St
Boston, MA 02215-2002 - Phone
- (617) 536-1160
- Fax
- (844) 283-4933
- NPI assigned
- May 16, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTL19687 | MA | Primary |
| Physical Therapist | 225100000X | PT00007291 | WA |
Addresses
Primary practice location
660 Beacon St
Boston, MA 02215-2002
Mailing address
4 Richmond SQ
Providence, RI 02906-5117
Phone (401) 433-4172
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5863485 | Other | WA | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Boston University School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
115 Norwood Park S
Norwood, MA 02062-4633
Phone (781) 702-4630
648 Beacon St
Boston, MA 02215-2013
Phone 61753611611
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTL19687 | MA | MD | Physical Therapist |
| PT00007291 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joint Ventures Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
| Joint Ventures Physical Therapy, Inc. | Current | Accepting new patients | |
| Proformance Rehab Inc | Physical Therapist | Past | Accepting new patients |
Locations
10 Liberty Sq
Bsmt 1
Boston, MA 02109
660 Beacon St
Boston, MA 02215
Phone (617) 536-1160
648 Beacon St
Boston, MA 02215
Phone (617) 353-9345
4 Richmond Sq
Providence, RI 02906
Phone (401) 885-2821
Organizations & group practices 4
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.
-
- Physical Therapy Clinic/Center
- Boston, MA
- NPI 1083667901
Physical Therapist
-
- Physical Medicine & Rehabilitation Physician
- Cambridge, MA
- NPI 1972149805
-
- Physical Therapist
- Seattle, WA
- NPI 1508801259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760400000000",
"number": "1649487133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 RICHMOND SQ",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029065117",
"telephone_number": "401-433-4172",
"fax_number": "401-433-0612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "660 BEACON ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "022152002",
"telephone_number": "617-536-1160",
"fax_number": "844-283-4933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLOCK",
"first_name": "CHRISTOPHER",
"middle_name": "R",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-16",
"last_updated": "2025-10-14",
"certification_date": "2025-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "PTL19687",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00007291",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5863485",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.