Active NPI
Susan Clunk, LPT
- Physical Therapist
- Marion, OH
National Provider Identifier
1891752929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT003405
- Practice address
- 1050 Delaware Avenue
Marion, OH 43302 - Phone
- (740) 383-8022
- Fax
- (740) 383-7942
- NPI assigned
- May 1, 2006
- 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 | PT003405 | OH | Primary |
Addresses
Primary practice location
1050 Delaware Avenue
Marion, OH 43302
Mailing address
PO Box 1827
Marion, OH 43301-1827
Phone (740) 383-8022
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000206005 | Other | OH | ANTHEM |
| 2229449 | Medicaid | OH |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3405 | OH | MD | Counseling Psychologist |
| PT003405 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marion General Hospital, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Marion, OH
- NPI 1215935366
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1891752929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1827",
"city": "MARION",
"state": "OH",
"postal_code": "433011827",
"telephone_number": "740-383-8022",
"fax_number": "740-383-7942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 DELAWARE AVENUE",
"city": "MARION",
"state": "OH",
"postal_code": "43302",
"telephone_number": "740-383-8022",
"fax_number": "740-383-7942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLUNK",
"first_name": "SUSAN",
"credential": "LPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-01",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT003405",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000206005",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2229449",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marion, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.