Individual provider Active NPI

Alex Clark, PT, DPT

  • Physical Therapist
  • Hendersonville, TN
National Provider Identifier
1790550226
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13603 Issued in TN
Practice address
230 New Shackle Island Rd Ste 120
Hendersonville, TN 37075-2484
Phone
(615) 989-0660
Fax
(615) 989-0661
NPI assigned
Nov 15, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 13603 TN Primary

Addresses

Primary practice location

230 New Shackle Island Rd Ste 120
Hendersonville, TN 37075-2484

Mailing address

230 New Shackle Island Rd Ste 120
Hendersonville, TN 37075-2484
Phone (615) 989-0660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231219001044 TN Practitioner - Physical Therapist in Private Practice 8729438650 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
Inspired PT LLCGroup PAC ID 6305214297, 17 clinicians

Practice addresses (Care Compare)

230 New Shackle Island Rd
Suite 120
Hendersonville, TN 37075-2483
Phone (615) 989-0660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Inspired PT, LLC Physical Therapist CurrentSince Nov 13, 2023 Accepting new patients

Locations

840 N Bluejay Way
Ste 107
Gallatin, TN 37066
Phone (615) 989-0420

230 New Shackle Island Rd
Ste 120
Hendersonvlle, TN 37075
Phone (615) 989-0660

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": "1700006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1790550226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 NEW SHACKLE ISLAND RD STE 120",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752484",
            "telephone_number": "615-989-0660",
            "fax_number": "615-989-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 NEW SHACKLE ISLAND RD STE 120",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752484",
            "telephone_number": "615-989-0660",
            "fax_number": "615-989-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ALEX",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-15",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "13603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.