KELLY CLARK (NPI# 1053893073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053893073 |
| Entity Type | Individual |
| Full Name | KELLY CLARK |
| Practice Address |
970 Hilltop Dr Weatherford TX 76086-5488 |
| Mailing Address |
3025 Yucca Rd Willow Park TX 76087-7116 |
| Practice Telephone | 8178081633 |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2018-09-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 2109081 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861026650 | Kelly Ann Clark | Nurse Practitioner | 4590 Childrens Pl, Saint Louis, MO 63110-1020 | 2020-03-02 |
| 1013474410 | Kelly Patricia Clark | Licensed Practical Nurse | 55 Pine Dr E, Mason, MI 48854-9229 | 2019-02-22 |
| 1013497304 | Kelly Ann Clark | Case Manager/Care Coordinator | 2498 Wenona Dr, Wixom, MI 48393-2199 | 2018-08-16 |
| 1407336720 | Kelly Elizabeth Clark | Physical Medicine & Rehabilitation | 3800 Reservoir Rd., Bles Building, Ground Floor, Department of Pm&r, Washington, DC 20007-2113 | 2018-08-16 |
| 1356747448 | Kelly Clark | Dietitian, Registered | 46 Mallards Cv, Duxbury, MA 02332-3548 | 2014-11-17 |
| 1568883312 | Kelly Clark | Licensed Practical Nurse | 125 W Bartlette St, Apt. 110, Sumter, SC 29150-5173 | 2013-12-20 |
| 1306105903 | Kelly Thomas Clark | Speech-Language Pathologist | 3406 Fowler Ct, Missouri City, TX 77459-6366 | 2012-05-16 |
| 1619247509 | Kelly Jane Clark | Pharmacist | 328 Quail Walk Trl, Chapin, SC 29036-9791 | 2012-01-09 |
| 1427350461 | Kelly Darlene Clark | Chiropractor | 2425 Mahan Dr, Tallahassee, FL 32308-2301 | 2010-11-24 |
| 1538479324 | Kelly S Clark | Licensed Vocational Nurse | 15716 W High St # 597, Middlefield, OH 44062-9201 | 2010-10-14 |
| Street Address |
970 HILLTOP DR |
| City | WEATHERFORD |
| State | TX |
| Zip Code | 76086-5488 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780021915 | Parker County Hospital District | Skilled Nursing Facility | 970 Hilltop Dr, Weatherford, TX 76086-5488 | 2013-05-29 |
| 1144703356 | Timothy Nelson Tasker | Occupational Therapy Assistant | 970 Hilltop Dr, Weatherford, TX 76086-5488 | 2018-09-13 |
| 1235612300 | Jay R Daniel | Physical Therapy Assistant | 970 Hilltop Dr, Weatherford, TX 76086-5488 | 2018-09-13 |
| 1699257584 | Kristine Babington | Occupational Therapy Assistant | 970 Hilltop Dr, Weatherford, TX 76086-5488 | 2018-09-06 |
| 1033691381 | Angela Trevino | Physical Therapy Assistant | 970 Hilltop Dr, Weatherford, TX 76086-5488 | 2018-09-04 |
| 1053893396 | Tyler Hoskinson | Physical Therapy Assistant | 970 Hilltop Dr, Weatherford, TX 76086-5488 | 2018-09-04 |
| 1972085389 | Ashley Bland | Speech-Language Pathologist | 970 Hilltop Dr, Weatherford, TX 76086-5488 | 2018-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104434810 | Beverly Diana Blair | Licensed Vocational Nurse | 870 Columbia Drive, Weatherford, Weatherford, TX 76086 | 2020-07-20 |
| 1275027385 | Star Family Medicine Pllc | Family Medicine | 933 Hilltop Dr Ste 100, Weatherford, TX 76086 | 2018-06-21 |
| 1174011324 | Anuj Yogesh Vyas | Student in an Organized Health Care Education/Training Program | Medical City Weatherford 713 E. Anderson, Weatherford, TX 76086 | 2018-04-24 |
| 1003321068 | Kleven Chiropractic, LLC | Chiropractor | 925 Santa Fe Drive, Suite #111, Weatherford, TX 76086 | 2017-12-12 |
| 1417471467 | Weatherford Health Services, LLC | General Acute Care Hospital | 713 East Anderson Street, Weatherford, TX 76086 | 2017-08-01 |
| 1710401021 | Kyle Evan Meason | Dentist | 2035 Fort Worth Hwy Ste 600, Weatherford, TX 76086 | 2017-07-28 |
| 1457898520 | Apmd LLC | Clinic/Center | 110 W I-20 Frontage Rd, Suite 130, Weatherford, TX 76086 | 2017-01-26 |
| 1861934887 | Laura Neel | Occupational Therapist | 250 Sante Fe Dr, Weatherford, TX 76086 | 2016-11-08 |
| 1588022040 | Heather Goddard | Nurse Practitioner | 920 Sante Fe Drive, Weatherford, TX 76086 | 2016-01-29 |
| 1689049413 | The Dermatology Spot Pllc | Dermatology | 1841 Martin Dr, 200, Weatherford, TX 76086 | 2015-12-04 |
| Find all providers in zip 76086 | ||||
| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154965770 | Alison E Smith | Physical Therapy Assistant | 119 Mike Thornton Ct, Weatherford, TX 76088 | 2019-11-06 |
| 1750845939 | Britney B Pollok | Physical Therapy Assistant | 1102 Dennis Rd, Weatherford, TX 76087-8826 | 2019-01-22 |
| 1992289714 | Jahel Quintana-correa | Physical Therapy Assistant | 3707 Stonebridge Dr, Weatherford, TX 76085-8203 | 2018-09-18 |
| 1992288179 | Henrietta Hall | Physical Therapy Assistant | 1724 Martin Dr Apt 6205, Weatherford, TX 76086-6291 | 2018-09-13 |
| 1326529694 | Jenny Jay Lowe | Physical Therapy Assistant | 911 Terry Trl, Weatherford, TX 76086-4645 | 2018-08-24 |
| 1376020727 | Jill Wilson | Physical Therapy Assistant | 208 N Main St Ste 130, Weatherford, TX 76086-3267 | 2018-07-27 |
| 1710368709 | Enrique Jr Pinzon Bucoy | Physical Therapy Assistant | 502 N Main St Unit 3014, Weatherford, TX 76086-2462 | 2015-06-15 |
| 1245543966 | Kelly Jean Detherage | Physical Therapy Assistant | 1201 Holland Lake Drive, Weatherford, TX 76086 | 2010-07-22 |
| 1912160003 | Amber Claussen | Physical Therapy Assistant | 1205 Santa Fe Dr, Weatherford, TX 76086-5819 | 2008-07-08 |
| 1740815059 | Mary- Kate Morissette | Physical Therapy Assistant | 208 N Main St Ste 130, Weatherford, TX 76086-3267 | 2020-03-06 |
| Find all providers in WEATHERFORD | ||||
| City | WEATHERFORD |
| Zip Code | 76086 |
Please comment or provide details below to improve the information on KELLY 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.