Organization Active NPI

The Clark Group Associates, Inc.

  • Athletic Trainer
  • Middletown, IN
National Provider Identifier
1952075111
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
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

Updated by the provider on Aug 2, 2021

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, LATNPI 1013950211
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)CodeLicenseStatePrimary
Athletic TrainerGroup: 193400000X SINGLE SPECIALTY GROUP 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. Doing business as

National Provider Directory

National Provider Directory

Practitioners & 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.

Verify at the official NPI Registry.