Active NPI
Zachary Alexander Clark, PT, DPT, LMT
- Physical Therapist
- Sparks, NV
National Provider Identifier
1790169225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4575
- Practice address
- 3005 N McCarran Blvd
Sparks, NV 89431-1885 - Phone
- (775) 359-1199
- Fax
- (775) 359-1195
- NPI assigned
- Jul 14, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | NVMT.9396 | NV | |
| Physical Therapist | 225100000X | 4575 | NV | Primary |
| Massage Therapist | 225700000X | MAT-13654 | HI |
Addresses
Primary practice location
3005 N McCarran Blvd
Sparks, NV 89431-1885
Mailing address
3005 N McCarran Blvd
Sparks, NV 89431-1885
Phone (775) 359-1199
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2225 N McCarran Blvd
Sparks, NV 89431-3365
Phone (775) 359-1199
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MAT-13654 | HI | MD | Massage Therapist |
| NVMT.9396 | NV | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moreland Physical Therapy Prof. Corp. | Physical Therapist | Current | Accepting new patients |
Locations
3005 N McCarran Blvd
Sparks, NV 89431
Phone (775) 359-1199
2225 N McCarran Blvd
Sparks, NV 89431
Phone (775) 240-7101
Organizations & group practices 1
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 Therapist
- Sparks, NV
- NPI 1548267677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784592000000",
"number": "1790169225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3005 N MCCARRAN BLVD",
"city": "SPARKS",
"state": "NV",
"postal_code": "894311885",
"telephone_number": "775-359-1199",
"fax_number": "775-359-1195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3005 N MCCARRAN BLVD",
"city": "SPARKS",
"state": "NV",
"postal_code": "894311885",
"telephone_number": "775-359-1199",
"fax_number": "775-359-1195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "ZACHARY",
"middle_name": "ALEXANDER",
"name_prefix": "Mr.",
"credential": "PT, DPT, LMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-14",
"last_updated": "2026-07-21",
"certification_date": "2026-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NV",
"license": "NVMT.9396",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "4575",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "HI",
"license": "MAT-13654",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sparks, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.