Nicole Ginette Clark, MSPT, PHD

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11-06834 Issued in KS

Practice address

1004 Progress Dr Ste 100
Lansing, KS 66043-6323

Phone

(913) 351-3586

Fax

(913) 351-3939

NPI assigned

Apr 26, 2006

Last updated

Jul 8, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Nicole Ginette Morin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Centers for Advanced Orthopaedics, LLC

  • Orthopaedic Surgery Physician
  • Chevy Chase, MD
  • NPI 1043650856
  NPD (past)
• Elissa Driban and Associates, LLC

  • Orthopedic Physical Therapist
  • Chevy Chase, MD
  • NPI 1285764662
  NPD (past)
• Rehabclinics Pta Inc

  dba NovaCare Rehabilitation

  • Physical Therapy Clinic/Center
  • Key West, FL
  • NPI 1891790234
  NPD (past)
• Rehabclinics Pta, Inc.

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Plantation, FL
  • NPI 1003358235
  NPD (past)

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1821055724",
    "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": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 PROGRESS DR STE 100",
            "city": "LANSING",
            "state": "KS",
            "postal_code": "660436323",
            "telephone_number": "913-351-3586",
            "fax_number": "913-351-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "NICOLE",
        "middle_name": "GINETTE",
        "credential": "MSPT, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "22938",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT22633",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-06834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "MORIN",
            "middle_name": "GINETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jared Lee Burcham, DPT
• Jennifer Ann Burkett, PT, DPT
• Cindy Campbell
• Janae Carlson, ARNP
• Jay Levis Carter, D.C.
• Clearview Imaging PA
• Complete Family Care, LLC
• Comprehensive Foot Centers
• Drew Gerald Cook
• Jenna Marie Cordel, OT

• Physical Therapist in Lansing, KS
• Providers in Lansing, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.