Active NPI
Joshua Lee Clark, PT
- Physical Therapist
- Key West, FL
National Provider Identifier
1720564834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT29344
- Practice address
- 5900 College Rd
Key West, FL 33040-4342 - Phone
- (305) 294-5531
- Fax
- (305) 294-5882
- NPI assigned
- Jul 12, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT29344 | FL | Primary |
Addresses
Primary practice location
5900 College Rd
Key West, FL 33040-4342
Mailing address
5900 College Rd
Key West, FL 33040-4342
Phone (305) 294-5531
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT29344 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531353600000",
"number": "1720564834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5900 COLLEGE RD",
"city": "KEY WEST",
"state": "FL",
"postal_code": "330404342",
"telephone_number": "305-294-5531",
"fax_number": "305-294-5882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5900 COLLEGE RD",
"city": "KEY WEST",
"state": "FL",
"postal_code": "330404342",
"telephone_number": "305-294-5531",
"fax_number": "305-294-5882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "JOSHUA",
"middle_name": "LEE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-12",
"last_updated": "2018-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT29344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Key West, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.