Janna Kay Clark, CPT

Primary specialty

MechanotherapistTaxonomy code 172M00000X

Practice address

7130 Estero Blvd
Fort Myers Beach, FL 33931-4715

Phone

(917) 750-5793

NPI assigned

Dec 5, 2018

Last updated

Dec 5, 2018By 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)

Not enrolled

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

{
    "created_epoch": "1543968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543968000000",
    "number": "1952872723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5615 LEWIS ST",
            "city": "FORT MYERS BEACH",
            "state": "FL",
            "postal_code": "339314127",
            "telephone_number": "191-775-0579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7130 ESTERO BLVD",
            "city": "FORT MYERS BEACH",
            "state": "FL",
            "postal_code": "339314715",
            "telephone_number": "917-750-5793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "JANNA",
        "middle_name": "KAY",
        "credential": "CPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-05",
        "last_updated": "2018-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Book
• Amanda Kaitlyn Boone, PT, DPT
• Nicholas Vito Boraggina, M.D.
• Dana Erin Bronsord, PT
• Lucy Church, DPT
• Lola Gene Clark, MS/CCC-SLP
• Claudia Leite De Paula, LMHC
• Christine Dee-Reyes, O.D.
• Amanda Kate Dichter, DPT
• Sina Esmaili, M.D.

• Mechanotherapist in Fort Myers Beach, FL
• Providers in Fort Myers Beach, FL by specialty
• Mechanotherapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; 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.