Individual provider Active NPI

Jeanette Hinchey Lark, MPT

  • Physical Therapist
  • Orange Beach, AL
National Provider Identifier
1801925722
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH12080 Issued in AL
Practice address
25751 Perdido Beach Blvd Ste A7
Orange Beach, AL 36561-6237
Phone
(251) 501-4781
NPI assigned
Mar 5, 2007
Last updated
Nov 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PT-1550 ID
Physical Therapist 225100000X PTH12080 AL Primary
Physical Therapist 225100000X PT30193 FL

Addresses

Primary practice location

25751 Perdido Beach Blvd Ste A7
Orange Beach, AL 36561-6237

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7212

Other practice location 1

8199 Navarre Pkwy Ste 12A
Navarre, FL 32566-6941
Phone (208) 552-5025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, FL, AL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20070619000614 ID Practitioner - Physical Therapist in Private Practice 2466484209 Reassigns benefits to 1 organization
I20171229001003 FL Practitioner - Physical Therapist in Private Practice 2466484209 Reassigns benefits to 2 organizations
I20250213000558 AL Practitioner - Physical Therapist in Private Practice 2466484209 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Marymount University, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pivotal Physical Therapy LLCGroup PAC ID 3870959307, 6 clinicians
Benchmark Physical Therapy of Alabama, LLCGroup PAC ID 5698930444, 73 clinicians

Practice addresses (Care Compare)

15 W Maxwell St
Suite 144
Pensacola, FL 32501-1700
Phone (850) 207-5874

25751 Perdido Beach Blvd
Suite A7
Orange Beach, AL 36561-6237
Phone (251) 501-4781

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH12080ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy of Alabama, LLC Physical Therapist CurrentSince Oct 30, 2024 Accepting new patients
Drayer Physical Therapy-Alabama, LLC Physical Therapist CurrentSince Oct 30, 2024 Accepting new patients
Teton Valley Health Care, Inc CurrentSince May 1, 2025 Accepting new patients
PT Solutions of Pensacola LLC Physical Therapist CurrentSince Dec 1, 2017 Accepting new patients
Drayer Physical Therapy Alabama LLC CurrentSince Oct 30, 2024 Accepting new patients
Teton Valley Health Care Inc CurrentSince May 1, 2025 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Oct 30, 2024 Accepting new patients
Benchmark Physical Therapy of Alabama, LLC Physical Therapist CurrentSince Oct 30, 2024 Accepting new patients
PT Solutions of Pensacola, LLC Physical Therapist CurrentSince Dec 1, 2017 Accepting new patients
Pivotal Physical Therapy LLC Physical Therapist CurrentSince Nov 10, 2025 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Oct 30, 2024 Accepting new patients
Southwest Sport and Spine Center Inc Physical Therapist PastSince Apr 7, 2000 Accepting new patients
Real View Diagnostics LLC Physical Therapist Past Accepting new patients
Rehabauthority, LLC Physical Therapist PastSince Feb 4, 2015 Accepting new patients
Medical Imaging Associates of Idaho Falls, Inc Past Accepting new patients

Locations

153 Narrows Pkwy
Ste 101
Birmingham, AL 35242
Phone (205) 640-4881

2215 Decatur Hwy
Ste 125
Gardendale, AL 35071
Phone (205) 285-8790

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

4601 Whitesburg Dr SE
Ste 102
Huntsville, AL 35802
Phone (256) 883-1734

25751 Perdido Beach Blvd
Ste A7
Orange Beach, AL 36561
Phone (251) 501-4781

15 W Maxwell St
Ste 144
Pensacola, FL 32501
Phone (850) 207-5874

5401 Corporate Woods Dr
Ste 300
Pensacola, FL 32504
Phone (850) 912-6840

236 Ponte Vedra Park Dr
Ste 300
Ponte Vedra Beach, FL 32082
Phone (904) 280-3440

120 E Howard St
Driggs, ID 83422
Phone (208) 354-2302

283 N 1st St
Driggs, ID 83422
Phone (208) 354-2302

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1801925722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7212",
            "fax_number": "232-383-4734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25751 PERDIDO BEACH BLVD STE A7",
            "city": "ORANGE BEACH",
            "state": "AL",
            "postal_code": "365616237",
            "telephone_number": "251-501-4781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8199 Navarre Pkwy Ste 12A",
            "address_purpose": "LOCATION",
            "city": "Navarre",
            "state": "FL",
            "postal_code": "325666941",
            "country_code": "US",
            "telephone_number": "208-552-5025",
            "fax_number": "208-552-5029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARK",
        "first_name": "JEANETTE",
        "middle_name": "HINCHEY",
        "name_prefix": "Ms.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "ID",
            "license": "PT-1550",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH12080",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT30193",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Beach, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.