Paxton Henry Clark, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1707 Issued in NM

Practice address

126 S Canyon St
Carlsbad, NM 88220-5733

Phone

(575) 628-0503

Fax

(575) 437-2622

NPI assigned

Jun 6, 2017

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM, CO2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Texas Tech University Health Science Center School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopedic Centers of Colorado LLCGroup PAC ID 2365714540, 327 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

43.24 of 100Reported as group

Quality

73.53

Promoting interoperability

0

Improvement activities

0

Cost

70.6

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Orthopedic Centers of Colorado, LLC

  dba Perioperative Medicine Care Center

  • Orthopaedic Surgery Physician
  • Denver, CO
  • NPI 1801339502

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Alamogordo Physical Therapy & Wellness Center, Inc

  • Physical Therapist
  • Alamogordo, NM
  • NPI 1043225493
  Medicare reassignment NPD
• Artesia Physical Therapy LLC

  • Physical Therapist
  • Artesia, NM
  • NPI 1033124490
  Medicare reassignment NPD
• Carlsbad Physical Therapy & Wellness Center, LLC

  • Physical Therapist
  • Carlsbad, NM
  • NPI 1841205200
  Medicare reassignment NPD
• Orthopedic Centers of Colorado, LLC

  • Orthopaedic Surgery Physician
  • Superior, CO
  • NPI 1336870856

  Physical Therapist

  NPD

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1740719459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2860",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883112860",
            "telephone_number": "575-434-9473",
            "fax_number": "575-437-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 S CANYON ST",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882205733",
            "telephone_number": "575-628-0503",
            "fax_number": "575-437-2622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2351 Indian Wells Rd",
            "address_purpose": "LOCATION",
            "city": "Alamogordo",
            "state": "NM",
            "postal_code": "883104607",
            "country_code": "US",
            "telephone_number": "575-434-3351",
            "fax_number": "575-437-2622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 W Mahone Dr",
            "address_purpose": "LOCATION",
            "city": "Artesia",
            "state": "NM",
            "postal_code": "882102046",
            "country_code": "US",
            "telephone_number": "575-746-2566",
            "fax_number": "575-437-2622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "PAXTON",
        "middle_name": "HENRY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-06",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "1707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Dyan Chavez, FNP-C
• Trishella L Childress
• Ashley Childs, DNP, APRN, FNP-BC
• Mysti Jo Church, LMSW
• City of Carlsbad
• Rikki Cline
• Lisa C Clouthier, MASTER OF SOCIAL WOR
• Leon Cohen, DPM
• Bridgett Collins, NP
• Patrick D. Collins, LPCC

• Physical Therapist in Carlsbad, NM
• Providers in Carlsbad, NM by specialty
• Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.