Peggy Clark, PT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

3299 Issued in CO

Practice address

2751 W 120TH Ave Ste 200
Westminster, CO 80234-2979

Phone

(303) 465-6332

NPI assigned

Jul 17, 2006

Last updated

Jun 16, 2016By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466035200000",
    "number": "1952329112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1594 ASTER CT",
            "city": "SUPERIOR",
            "state": "CO",
            "postal_code": "800276032",
            "telephone_number": "720-312-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 W 120TH AVE STE 200",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802342979",
            "telephone_number": "303-465-6332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "PEGGY",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2016-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CO",
            "license": "3299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clad LLC
• Sheri Clair, RESPITE PROVIDER
• William Clancy, PSYD
• Claramente Salud
• Pamela L Clark
• Shannon Clark
• Darius N. Clarke, M.D.
• Jennifer Roberson Clarke, AUD.
• Claude a Pareja DDS PC (Westminster Dental Associates)
• Jessee Clauson, BCBA, MS

• Physical Medicine & Rehabilitation Physician in Westminster, CO
• Providers in Westminster, CO by specialty
• Physical Medicine & Rehabilitation Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; 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.