Active NPI
The Clark Group Associates, Inc.
- Athletic Trainer
- Middletown, IN
National Provider Identifier
1952075111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Legal business name
- THE CLARK GROUP ASSOCIATES, INC.
- Practice address
- 3831 E County Road 400 S
Middletown, IN 47356-9505 - Phone
- (317) 402-2753
- Fax
- (877) 402-9441
- NPI assigned
- Aug 2, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Clark E. Simpson, MBA, MED, RKT, LAT
- Title
- President/Ceo
- Phone
- (317) 402-2753
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Primary | ||
| Rehabilitation Clinic/Center | 261QR0400X |
Addresses
Primary practice location
3831 E County Road 400 S
Middletown, IN 47356-9505
Mailing address
PO Box 214
Pendleton, IN 46064-0214
Phone (317) 402-7523
Other names 1
- The Clark Group Associates, Inc.
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627862400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1627862400000",
"number": "1952075111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 214",
"city": "PENDLETON",
"state": "IN",
"postal_code": "460640214",
"telephone_number": "317-402-7523",
"fax_number": "877-402-9441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3831 E COUNTY ROAD 400 S",
"city": "MIDDLETOWN",
"state": "IN",
"postal_code": "473569505",
"telephone_number": "317-402-2753",
"fax_number": "877-402-9441"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE CLARK GROUP ASSOCIATES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-02",
"last_updated": "2021-08-02",
"certification_date": "2021-08-02",
"status": "A",
"authorized_official_last_name": "SIMPSON",
"authorized_official_first_name": "CLARK",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "317-402-2753",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MBA, MED, RKT, LAT"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Clark Group Associates, Inc.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Middletown, IN
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.