Thomas Colin Clark, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

11-01967 Issued in KS

Practice address

7111 E 21St St N Ste 103
Wichita, KS 67206

Phone

(316) 269-1311

Fax

(316) 269-1588

NPI assigned

Jan 30, 2007

Sex

Male

Sole proprietor

No

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 KS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced PT LLCGroup PAC ID 3678524709, 84 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Advanced PT LLC

  • Physical Therapist
  • Wichita, KS
  • NPI 1780616789
  Medicare reassignment Care Compare group NPD
• Advanced PT LLC

  • Physical Therapist
  • Kansas City, KS
  • NPI 1144251232
  NPD
• Advanced PT, LLC

  • Physical Therapy Clinic/Center
  • Wichita, KS
  • NPI 1043805492
  NPD (past)
• Ascension Via Christi Rehabilitation Hospital, Inc.

  • Family Medicine Physician
  • Wichita, KS
  • NPI 1477504645
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1972649499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W DOUGLAS AVE STE 1040",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023017",
            "telephone_number": "316-263-0003",
            "fax_number": "316-263-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7111 E 21ST ST N STE 103",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67206",
            "telephone_number": "316-269-1311",
            "fax_number": "316-269-1588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9727 E Shannon Woods Cir",
            "address_2": "Suite 160",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672264102",
            "country_code": "US",
            "telephone_number": "316-681-0824",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9727 E Shannon Woods Cir",
            "address_2": "Suite 160",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672264102",
            "country_code": "US",
            "telephone_number": "316-681-0824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "THOMAS",
        "middle_name": "COLIN",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "KS",
            "license": "11-01967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenzie Clark
• Mark Clark
• Rachel Hayes Clark, DDS
• Richard Glenn Clark, DMD
• Taylor Clark
• Vivienne Violet Clark, LMSW
• Jacob Daniel Clarke, MD
• Sheryll E Clarke, LD RD
• Janice M Clarkson, CRNA
• Megan Treas Clary, CPM

• Orthopedic Physical Therapist in Wichita, KS
• Providers in Wichita, KS by specialty
• Orthopedic Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; 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.