Ginger Lee Clark, P.T.
Individual provider Active NPI Physical Therapist · Arnold, MD
NPI 1811237373 · NPPES record last updated Feb 21, 2013
Key facts
- NPI
- 1811237373
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 18492 (MD)
- Practice address
- 1460 Ritchie Hwy
113
Arnold, MD 21012-2730 - Phone
- (410) 626-8350
- Fax
- (410) 626-8351
- NPI assigned
- Feb 21, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Doyle and Taylor Physical Therapy, LLC
Practice addresses (Care Compare)
275 W St
Suite 300
Annapolis, MD 21401-3499
Phone (410) 295-0001
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131220000125 | MD | Practitioner - Physical Therapist in Private Practice | 2567699481 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doyle & Taylor Physical Therapy, LLC | Physical Therapist | Current |
Accepting new patients |
Locations
275 West St
Ste 300
Annapolis, MD 21401
Phone (410) 295-0001
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 18492 | MD | Yes |
Addresses
Primary practice location
1460 Ritchie Hwy
113
Arnold, MD 21012-2730
Mailing address
7310 Ritchie Hwy
500
Glen Burnie, MD 21061-3065
Phone (410) 766-4047
Other providers in Arnold, MD
- Chapelwood Enterprises LLC
- Chesapeake Dialysis Clinic LLC
- Daniel G. Chesla
- Susan Chisholm
- Jamie Lee Christy
- Katie Michael Clements
- Pamela Sue Cochran
- Kelini Coker
- Sheri B Coleman
- Jessica Ami Collins
All providers in Arnold, MD · Physical Therapist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.