MR. CHAD ALAN CLARK (NPI# 1083617906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083617906 |
| Entity Type | Individual |
| Full Name | MR. CHAD ALAN CLARK |
| Credential | MSPT |
| Practice Address |
58 Glenroyal Dr Pueblo CO 81005-2174 |
| Practice Telephone | 7195656678 |
| Practice Fax Number | 7195610577 |
| Mailing Telephone | 7195656678 |
| Mailing Fax Number | 7195610577 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2011-09-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 5835 | CO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 36630233 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831536994 | Chad Alan Clark | Physical Therapist | 560 Memorial Dr Ste C, Pocatello, ID 83201-4073 | 2013-05-30 |
| 1215227525 | Chad Joseph Clark | Counselor | 10201 E 5th St, Tulsa, OK 74128-2617 | 2011-04-08 |
| 1265912836 | Chad Curtis Clark | Technician | 4326 W. Cheyenne Ave (suite 100), North Las Vegas, NV 89032 | 2018-08-14 |
| 1205241577 | Chad Clark | Optometrist | 5201 Hamilton Blvd, Allentown, PA 18106-9113 | 2014-06-25 |
| 1346339496 | Chad Jeremy Clark | Family Medicine | 900 Round Valley Dr, Suite 200, Park City, UT 84060-7552 | 2006-10-12 |
| 1023052545 | Chad Leroy Clark | Emergency Medicine | 3865 Jackson St, Riverside, CA 92503-3919 | 2006-06-15 |
| 1881659258 | Chad David Clark | Physician Assistant | 85 Mcnaughten Rd, Ste 110, Columbus, OH 43213-2174 | 2006-04-19 |
| 1275517831 | Chad Michael Clark | Radiology | 620 Summit Crossing Pl, Ste 106, Gastonia, NC 28054-2176 | 2005-12-06 |
| Street Address |
58 GLENROYAL DR |
| City | PUEBLO |
| State | CO |
| Zip Code | 81005-2174 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225595630 | Kimberly Warfield | Specialist | 5825 W Hwy 78, Pueblo, CA 81005 | 2019-02-22 |
| 1417461823 | Yah Vision | Optometrist | 2568 Taylor Ln, Pueblo, CO 81005 | 2017-11-21 |
| 1245758168 | Jenny C Alas | Dentist | 2603 Vinewood Lane, Pueblo, CO 81005 | 2017-08-30 |
| 1801342472 | Cynthia Watson | Counselor | 2429 S. Prairie Avenue, Pueblo, CO 81005 | 2016-09-01 |
| 1598033664 | Kyle Andrew Bonds | Pharmacist | 2900 W. Northern Ave., Pueblo, CO 81005 | 2011-12-05 |
| 1346406196 | Samantha Coleman | Counselor | 2429 S Prairie Ave, Pueblo, CO 81005 | 2008-07-31 |
| 1184890915 | Hg Stringert Dds, Ms, PC | Dentist | 3955 Sandlewood Lane, Pueblo, CO 81005 | 2008-05-01 |
| 1992902423 | David Russell Baer | Dentist | 2041 Pepper Lane, Ste A, Pueblo, CO 81005 | 2007-06-28 |
| 1659443695 | Thomas Wesley Ready | Dentist | 643 So Pueblo Blvd, Pueblo, CO 81005 | 2006-11-14 |
| 1700969029 | Bradley Michael Almond | Dentist | 1221 S Pueblo Blvd, Pueblo, CO 81005 | 2006-10-23 |
| Find all providers in zip 81005 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) 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 |
|---|---|---|---|---|
| 1891268900 | Stephanie Michaela Johnson | Physical Therapist | 1321 S Prairie Ave, Pueblo, CO 81005-2307 | 2019-01-10 |
| 1770028060 | Mark Francis Dela Cruz Ferrer Jr. | Physical Therapist | 900 W Abriendo Ave, Apt 107a, Pueblo, CO 81004-1141 | 2016-12-22 |
| 1093176109 | Lori Mcgill | Physical Therapist | 301 28th Ln, Pueblo, CO 81001-6035 | 2016-03-16 |
| 1972900959 | Douglas Whitney Ashton | Physical Therapist | 1275 W Pueblo Blvd, Pueblo, CO 81004-3866 | 2014-11-19 |
| 1992128516 | Michael Flores | Physical Therapist | 1229 Silverqueen Rd, Pueblo, CO 81008-1946 | 2014-02-03 |
| 1962824953 | Brooke Simpson | Physical Therapist | 3204 E Spaulding Ave, Pueblo, CO 81008-2279 | 2014-01-10 |
| 1093050528 | Olivia Dee Witte | Physical Therapist | 1615 Wabash Ave, Pueblo, CO 81004-3338 | 2012-12-10 |
| 1154672343 | Gunilla Margareta Rushing | Physical Therapist | 178 Macneil Pl, Pueblo, CO 81001-1920 | 2012-09-27 |
| 1639426042 | Katie Mccord | Physical Therapist | 5055 Outlook Blvd, Pueblo, CO 81008-1388 | 2012-08-06 |
| 1649563446 | Robert Andrew Jargowsky | Physical Therapist | 2 San Carlos Ct, Pueblo, CO 81005-2694 | 2011-05-26 |
| Find all providers in PUEBLO | ||||
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| 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.