Kaycie Clark, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1253 Issued in NH

Practice address

91A N State St
Concord, NH 03301-4334

Phone

(603) 724-2297

NPI assigned

Jun 24, 2021

Last updated

Jun 24, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Performance Health Spine & Sport Therapy

  • Chiropractor
  • Concord, NH
  • NPI 1205100096
  NPD

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1770152613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 CADOGAN WAY",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030622255",
            "telephone_number": "207-841-2982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91A N STATE ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033014334",
            "telephone_number": "603-724-2297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "KAYCIE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-24",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NH",
            "license": "1253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia E Clancy, MD
• Elizabeth Clardy, MD
• Shaira Clarissa, NON EMERGENCY TRANSP
• Allison Clark, LICSW
• Deborah D Clark, MA, LCMHC
• Nancy Clark, APRN
• Paul Clark, MD
• Shania Clark, MS, RD, LD
• Vicki L Clark, COTA,L
• Clear Choice Hearing LLC

• Physical Therapy Assistant in Concord, NH
• Providers in Concord, NH by specialty
• Physical Therapy Assistant in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.