Active NPI
Sheyrl Ann Clark
- Physical Therapist
- Stuart, IA
National Provider Identifier
1871142489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1284
- Practice address
- 312 N Fremont St
Stuart, IA 50250-2083 - Phone
- (515) 523-8050
- Fax
- (641) 332-3910
- NPI assigned
- Sep 6, 2019
- Last updated
- Sep 6, 2019
- 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 | 1284 | IA | Primary |
Addresses
Primary practice location
312 N Fremont St
Stuart, IA 50250-2083
Mailing address
710 N 12TH St
Guthrie Center, IA 50115-1544
Phone (641) 332-3810
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1284 | IA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567728000000",
"number": "1871142489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 N 12TH ST",
"city": "GUTHRIE CENTER",
"state": "IA",
"postal_code": "501151544",
"telephone_number": "641-332-3810",
"fax_number": "641-332-3809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 N FREMONT ST",
"city": "STUART",
"state": "IA",
"postal_code": "502502083",
"telephone_number": "515-523-8050",
"fax_number": "641-332-3910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "SHEYRL",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-06",
"last_updated": "2019-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "1284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stuart, IA
- Adair County Memorial Hospital (Adair County Medical Clinic Stuart)
- At Your Service Home Care LLC
- Barb's in-Home Care LLC
- Jodi Marie Bassett, D.C.
- Jessica Carney, DPT
- Community Care Center Inc (Community Care Center)
- Brenda Sue Egger, M.O.T.R./L.
- Rebekah Grace Emgarten, B.A., C.T.A.
- Eyecare Associates, P.C.
- Abby Eileen Fiedler, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.