Jeffrey Thomas Clark, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT023387 Issued in PA

Practice address

2125 Noll Dr
Suite 100
Lancaster, PA 17603-7606

Phone

(717) 391-9920

Fax

(717) 391-9925

NPI assigned

Feb 12, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423699200000",
    "number": "1851782734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 NOLL DR",
            "address_2": "SUITE 100",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176037606",
            "telephone_number": "717-391-9920",
            "fax_number": "717-391-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 NOLL DR",
            "address_2": "SUITE 100",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176037606",
            "telephone_number": "717-391-9920",
            "fax_number": "717-391-9925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "JEFFREY",
        "middle_name": "THOMAS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-12",
        "last_updated": "2015-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT023387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloria Jean Cissne, CRNP
• Bruce Alexander Citsay, RPH
• Kimberly Beth Civitarese
• Christina M Clark, PHYSICIAN ASSISTANT
• Harry Albert Clark Jr., DDS.
• Megan L Clark, SLP
• Meredith Nancy Clark, PHARMD
• Neil Ross Clark, M.D.
• Nudaye Clark, LPN
• Athena B Clarkin, LMT

• Physical Therapist in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; 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.