Active NPI
Berkley Clark, PT
- Physical Therapist
- Cincinnati, OH
National Provider Identifier
1831464239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 8650 Governors Hill Dr
Suite 180
Cincinnati, OH 45249-1372 - Phone
- (866) 791-5766
- NPI assigned
- Mar 19, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
8650 Governors Hill Dr
Suite 180
Cincinnati, OH 45249-1372
Mailing address
1877 Spring Meadow Dr
Lebanon, OH 45036-7863
Phone (513) 934-0699
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332115200000",
"number": "1831464239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1877 SPRING MEADOW DR",
"city": "LEBANON",
"state": "OH",
"postal_code": "450367863",
"telephone_number": "513-934-0699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8650 GOVERNORS HILL DR",
"address_2": "SUITE 180",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452491372",
"telephone_number": "866-791-5766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "BERKLEY",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-19",
"last_updated": "2012-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.