ANDREW CLARK (NPI# 1043764525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043764525 |
| Entity Type | Individual |
| Full Name | ANDREW CLARK |
| Credential | DPT |
| Practice Address |
210 N Aviation Blvd #b Manhattan Beach CA 90266-7015 |
| Practice Telephone | 3103769200 |
| Practice Fax Number | 3103769202 |
| Mailing Telephone | 3103769200 |
| Mailing Fax Number | 3103769202 |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2016-08-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
291868 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194288563 | Andrew Byler Clark | Student in an Organized Health Care Education/Training Program | 200 Jeanette Lancaster Way, Charlottesville, VA 22903-3388 | 2019-04-11 |
| 1588156509 | Andrew Jeffrey Clark | Chiropractor | 6304 College Blvd, Overland Park, KS 66211-1506 | 2018-06-05 |
| 1518373257 | Andrew Clark | Case Manager/Care Coordinator | 100 Barberry Dr, Knoxville, TN 37912 | 2014-07-02 |
| 1316215528 | Andrew J Clark | Counselor | 1219 Oak Knoll Rd, Santa Maria, CA 93455-4303 | 2011-12-02 |
| 1992017164 | Andrew Edward Clark | Dentist | 1036-42 Dunn Ave, Jacksonville, FL 32218-6359 | 2010-07-05 |
| 1760683635 | Andrew Clark | Student in an Organized Health Care Education/Training Program | 109 Pine Knoll Dr, 347, Ridgeland, MS 39157-1350 | 2007-05-30 |
| 1912988635 | Andrew Robert Clark | Family Medicine | 5123 4th Avenue Cir E, Bradenton, FL 34208-5620 | 2005-11-09 |
| 1093374936 | Andrew Elton Clark | Spec/Tech, Pathology | 6201 Harry Hines Blvd, Dallas, TX 75390-0001 | 2019-06-12 |
| 1679034508 | Andrew Jeffrey Clark | Student in an Organized Health Care Education/Training Program | 530 S Jackson St, Louisville, KY 40202-1675 | 2019-03-25 |
| 1447745336 | Andrew Clark | Student in an Organized Health Care Education/Training Program | 1450 San Pablo St Fl 4, Los Angeles, CA 90033-5331 | 2018-06-25 |
| Street Address |
210 N AVIATION BLVD #B |
| City | MANHATTAN BEACH |
| State | CA |
| Zip Code | 90266-7015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891840864 | Sylvia Ann Mehl | Physical Therapist | 210 N Aviation Blvd, Suite B, Manhattan Beach, CA 90266-7015 | 2007-01-23 |
| 1548687544 | Kevin Dean | Physical Therapist | 210 N Aviation Blvd, Manhattan Beach, CA 90266-7015 | 2014-03-27 |
| 1194020776 | Head 2 Toe Physical Therapy, Inc. | Physical Therapist | 210 N Aviation Blvd, Unit B, Manhattan Beach, CA 90266-7015 | 2011-01-13 |
| 1073789590 | Carolyn Cowie Kramer | Physical Therapist | 210 N Aviation Blvd, Suite B, Manhattan Beach, CA 90266-7015 | 2008-05-05 |
| 1881727337 | James Lundy | Physical Therapist | 210 N Aviation Blvd, Unit B, Manhattan Beach, CA 90266-7015 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770099756 | Tene Anderson | Massage Therapist | 500 S. Sepulveda Blvd, 207, Manhattan Beach, CA 90266 | 2017-12-28 |
| 1689035552 | Sean Limahelu | Physical Therapist | 400 S. Sepulveda Blvd. Suite 105, Manhattan Beach, CA 90266 | 2016-03-18 |
| 1609248053 | Nora Lillian Fong | General Practice | 425 15th St., Manhattan Beach, CA 90266 | 2015-10-26 |
| 1598182461 | Behavior and Education Inc | Day Training, Developmentally Disabled Services | 1888 Rosecrans Ave, Suite 2200, Manhattan Beach, CA 90266 | 2014-03-27 |
| 1538502406 | Cynara Conroy Allison | Marriage & Family Therapist | 1716 Manhattan Beach Blvd. #c, Manhattan Beach, CA 90266 | 2013-04-10 |
| 1598001919 | Cassandra Giornali Sorrell | Marriage & Family Therapist | 1050 Duncan Avenue, Suite K, Manhattan Beach, CA 90266 | 2012-12-13 |
| 1669716056 | Maria Lynn Newson | Marriage & Family Therapist | 2007 Cedar Avenue, Manhattan Beach, CA 90266 | 2012-11-26 |
| 1407113376 | Mona-lisa Lind | Marriage & Family Therapist | 901 North Pacific Coast Hwy., Ste. 200a-204a, Redondo Beach, CA 90266 | 2012-04-17 |
| 1790063964 | Chad Chin Seng Heng | Anesthesiology | 400 S Sepulveda Blvd Ste 200, Manhattan Beach, CA 90266 | 2011-07-21 |
| 1417262908 | Jennifer V. Izzarelli | Nurse Practitioner | 111 North Sepulveda Boulevard, Suite 210, Manhattan Beach, CA 90266 | 2010-08-10 |
| Find all providers in zip 90266 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861953259 | Liya Wang | Physical Therapist | 1652 2nd St, Manhattan Beach, CA 90266-7010 | 2019-03-27 |
| 1033343124 | Lauren Yee Perrone | Physical Therapist | 210 N Aviation Blvd Ste B, Manhattan Beach, CA 90266-7015 | 2009-05-05 |
| 1558406728 | Advanced Sports Medicine & Orthopedic Pt | Physical Therapist | 1200 Rosecrans Ave Ste 206, Manhattan Beach, CA 90266-2451 | 2007-02-21 |
| 1255489332 | Hymanson Physical Therapy, Inc. | Physical Therapist | 1217 9th St, Manhattan Beach, CA 90266-6017 | 2007-01-08 |
| 1689271207 | Hannah Zarnstorff | Physical Therapist | 3212 Highland Ave, Manhattan Beach, CA 90266-3888 | 2020-10-06 |
| 1144851080 | Ross Richard Brunett | Physical Therapist | 400 S Sepulveda Blvd, Manhattan Beach, CA 90266-6814 | 2020-01-29 |
| 1619250610 | Nicole Sulham | Physical Therapist | 1500 Rosecrans Ave, Suite 550, Manhattan Beach, CA 90266-3763 | 2011-09-26 |
| 1194020776 | Head 2 Toe Physical Therapy, Inc. | Physical Therapist | 210 N Aviation Blvd, Unit B, Manhattan Beach, CA 90266-7015 | 2011-01-13 |
| 1518131267 | Timothy P Mccauley | Physical Therapist | 1200 Rosecrans Ave Ste 206, Manhattan Beach, CA 90266-2451 | 2008-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063311 | Kayla Utley | Physical Therapist | 5201 Norris Canyon Rd Ste 230, San Ramon, CA 94583-5405 | 2020-11-06 |
| 1184225054 | Vuk Ekmecic | Physical Therapist | 7908 Rancho Fanita Dr Spc 23, Santee, CA 92071-3421 | 2020-11-05 |
| 1932700283 | Christopher Lui | Physical Therapist | 21621 E Bluebell Ct, Walnut, CA 91789-1443 | 2020-11-03 |
| 1952900789 | Sierra Speck | Physical Therapist | 11701 Wilshire Blvd Ste 14b1, Los Angeles, CA 90025-1547 | 2020-10-22 |
| 1992312086 | Heidi Lynne Anders | Physical Therapist | 5805 W 8th St Apt 205, Los Angeles, CA 90036-4576 | 2020-09-23 |
| 1578176780 | Patricia Isabella Commer | Physical Therapist | 4146 Randolph Ave, Oakland, CA 94602-1314 | 2020-08-26 |
| 1376151126 | Yifu Zhou | Physical Therapist | 1625 W Olympic Blvd Ste 790, Los Angeles, CA 90015-3809 | 2020-07-17 |
| 1033732250 | Sync Physical Therapy & Yoga Inc | Physical Therapist | 5100 Marlborough Dr Ste 101, San Diego, CA 92116-2020 | 2020-05-21 |
| 1043830961 | Dr. Holly Physical Therapy | Physical Therapist | 4500 Shepard St, Bakersfield, CA 93313-2326 | 2020-04-21 |
| 1861011744 | Lauren Jarmusz | Physical Therapist | 1107 2nd Ave Apt 408, Redwood City, CA 94063-4036 | 2020-04-10 |
| Find all providers with the same taxonomy | ||||
| City | MANHATTAN BEACH |
| Zip Code | 90266 |
Please comment or provide details below to improve the information on ANDREW CLARK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.