Anne Clark, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501015698 Issued in MI

Practice address

10020 Professional Center Drive
Hamburg, MI 48139

Phone

(810) 231-6904

NPI assigned

Feb 21, 2013

Last updated

Sep 27, 2018By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Bethany's Equine and Aquatic Therapy Services, Inc

  dba BEATS, Inc

  • Physical Therapy Clinic/Center
  • Canton, GA
  • NPI 1578797445
  NPD (past)
• PT Solutions of Acworth, LLC

  • Physical Therapist
  • Athens, GA
  • NPI 1144772625
  NPD (past)
• PT Solutions of Acworth, LLC

  • Physical Therapist
  • Watkinsville, GA
  • NPI 1679025167
  NPD (past)

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

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1871833277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10020 PROFESSIONAL CENTER DRIVE",
            "city": "HAMBURG",
            "state": "MI",
            "postal_code": "48139",
            "telephone_number": "810-231-6904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ANNE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-21",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501015698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Hansen Axelgard
• Bryson Dental P.L.L.C (Hamburg Family Dental)
• Steven Michael Bryson, DDS
• David T Burnell, D.D.S.
• Nancy Carbajo, M.D.
• Michael John Corrigan, MSW, LMSW, ACSW
• Brandon Coy
• Heather D'Agosta, DPT
• Maria Da Cruz
• Victoria Lee Dawson, LMSW

• Physical Therapist in Hamburg, MI
• Providers in Hamburg, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; 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.