Active NPI
Emily Hardy Clark, DPT
- Physical Therapist
- Hermon, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT4653
- Practice address
- 2263 Route 2
Hermon, ME 04401-0605 - Phone
- (207) 848-9009
- Fax
- (207) 404-2562
- NPI assigned
- Aug 24, 2016
- Last updated
- Aug 2, 2021
- Sex
- Female
- Sole proprietor
- No
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 | PT4653 | ME | Primary |
Addresses
Primary practice location
2263 Route 2
Hermon, ME 04401-0605
Mailing address
2263 Route 2
Hermon, ME 04401-0605
Phone (207) 848-9009
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT4653 | ME | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covey Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Bridgton Hospital | Current | Accepting new patients | |
| Rumford Hospital | Current | Accepting new patients | |
| Central Maine Clinical Associates Corporation | Current | Accepting new patients | |
| Bridgton Hospital | Current | Accepting new patients | |
| Central Maine Clinical Associates | Current | Accepting new patients | |
| Central Maine Clinical Associates | Current | Accepting new patients | |
| Rumford Hospital | Current | Accepting new patients | |
| Rumford Community Family Health Center, Inc. | Past | Accepting new patients |
Locations
10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000
2263 Route 2
Hermon, ME 04401
Phone (207) 848-9009
29 Lowell St
Lewiston, ME 04240
Phone (207) 795-2154
364 Main St
Lewiston, ME 04240
Phone (207) 795-5646
420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581
Organizations & group practices 9
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.
-
- Critical Access Hospital
- Bridgton, ME
- NPI 1154370153
-
- Family Medicine Physician
- Lewiston, ME
- NPI 1356676688
-
- Physical Therapist
- Hermon, ME
- NPI 1144487471
-
- Critical Access Hospital
- Rumford, ME
- NPI 1205991122
-
dba Bridgton Hospital Swing Bed
- Medicare Defined Swing Bed Hospital Unit
- Bridgton, ME
- NPI 1477691467
-
dba Turner Physical Therapy Services
- Physical Therapy Clinic/Center
- Turner, ME
- NPI 1801254669
-
dba Naples PT4U
- Physical Therapy Clinic/Center
- Naples, ME
- NPI 1922465616
-
dba Rumford Hospital Swingbed
- Medicare Defined Swing Bed Hospital Unit
- Rumford, ME
- NPI 1982742482
-
dba Swift River Family Medicine
- Rural Health Clinic/Center
- Rumford, ME
- NPI 1578599775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627862400000",
"number": "1861947442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2263 ROUTE 2",
"city": "HERMON",
"state": "ME",
"postal_code": "044010605",
"telephone_number": "207-848-9009",
"fax_number": "207-404-2562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2263 ROUTE 2",
"city": "HERMON",
"state": "ME",
"postal_code": "044010605",
"telephone_number": "207-848-9009",
"fax_number": "207-404-2562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "EMILY",
"middle_name": "HARDY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-24",
"last_updated": "2021-08-02",
"certification_date": "2021-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "PT4653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hermon, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.