Individual provider Active NPI

Zachary Alexander Clark, PT, DPT, LMT

  • Physical Therapist
  • Sparks, NV
National Provider Identifier
1790169225
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4575 Issued in NV
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

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20220222000591 NV Practitioner - Physical Therapist in Private Practice 0547654386 Reassigns benefits to 1 organization

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
Moreland Physical Therapy Prof. Corp.Group PAC ID 1254319676, 6 clinicians

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

LicenseStateTypeSpecialty
MAT-13654HIMDMassage Therapist
NVMT.9396NVMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Moreland Physical Therapy Prof. Corp. Physical Therapist CurrentSince Dec 12, 2025 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.

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.

Verify at the official NPI Registry.