Jessica Granger Clark

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9612 Issued in SC

Practice address

1701 Commerce St
Ruston, LA 71270-6659

Phone

(318) 224-8994

NPI assigned

Apr 29, 2019

Last updated

Mar 25, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in LA, AR2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jackson Parish Therapy Center, LLCGroup PAC ID 8022048867, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Jackson Parish Therapy Center LLC

  dba Fyzical Therapy & Balance Centers

  • Physical Therapist
  • Ruston, LA
  • NPI 1891794491

  AR

  Medicare reassignment Care Compare group NPD
• Therateam Outpatient Services, LLC

  • Orthopedic Physical Therapist
  • Haughton, LA
  • NPI 1821333055
  Medicare reassignment NPD

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

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1942864582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 HIGHWAY 556",
            "city": "CHOUDRANT",
            "state": "LA",
            "postal_code": "712279790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 COMMERCE ST",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712706659",
            "telephone_number": "318-224-8994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "JESSICA",
        "middle_name": "GRANGER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-29",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "9612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Choosing Change Counseling
• Theresa Cearley Christian, OT
• Kathryn W Claborn, APRN
• Amanda M Clark, ATC, LAT
• Barbara Jean Clark, LPC
• Danny Clay, RPH
• CLHG-Ruston LLC (Allegiance Medical Clinic)
• CLHG-Ruston LLC (Ruston Physician Practices)
• CLHG-Ruston LLC (Allegiance Medical Clinic of Ruston)
• CLHG-Ruston LLC

• Physical Therapist in Ruston, LA
• Providers in Ruston, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.