DR. JACQUELINE CLARK (NPI# 1215452958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215452958 |
| Entity Type | Individual |
| Full Name | DR. JACQUELINE CLARK |
| Credential | PT, DPT |
| Practice Address |
546 E Sandy Lake Rd Ste 110 Coppell TX 75019-5787 |
| Mailing Address |
11411 Luna Rd Apt 25307 Farmers Branch TX 75234-9489 |
| Practice Telephone | 9723930287 |
| Practice Fax Number | 9723936959 |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2017-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720594955 | Jacqueline Clark | Behavior Technician | 10530 Warwick Ave Ste C2, Fairfax, VA 22030-3132 | 2017-12-26 |
| 1336552629 | Jacqueline Clark | Specialist/Technologist | 550 Huntington Ave, Boston, MA 02115-5901 | 2014-06-04 |
| 1497015762 | Jacqueline Clark | Counselor | 923 Powell Ave Sw, Suite 100, Renton, WA 98057-2941 | 2012-05-21 |
| 1407008287 | Jacqueline Ruth Clark | Licensed Practical Nurse | 26308 Crocker Rd, Columbia Station, OH 44028-9301 | 2008-10-13 |
| 1902424161 | Jacqueline E Clark | Advanced Practice Midwife | 1021 Nebraska St, Sioux City, IA 51105-1436 | 2020-07-13 |
| 1205456795 | Jacqueline Clark | Behavior Technician | 182 El Dorado St, Monterey, CA 93940-3118 | 2020-04-24 |
| 1982175493 | Jacqueline Clark | Occupational Therapist | 888 Terrace St, Muskegon, MI 49440-1220 | 2018-12-10 |
| 1194244749 | Jacqueline Ann Clark | Counselor | 811 Madison St, Everett, WA 98203-4543 | 2017-09-14 |
| 1245578343 | Jacqueline Anne Clark | Counselor | 2845 Bell St, Zanesville, OH 43701-1720 | 2013-01-24 |
| 1013255611 | Jacqueline Marie Clark | Registered Nurse | 700 19th St S, Birmingham, AL 35233-1927 | 2013-01-17 |
| Street Address |
546 E SANDY LAKE RD STE 110 |
| City | COPPELL |
| State | TX |
| Zip Code | 75019-5787 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639199524 | Michael John Schnappauf | Chiropractor | 546 E Sandy Lake Rd Ste 110, Coppell, TX 75019-5787 | 2006-07-20 |
| 1144874629 | Lauren Cunningham | Physical Therapist | 546 E Sandy Lake Rd Ste 110, Coppell, TX 75019-5787 | 2019-08-01 |
| 1184280554 | Michelle Yarnell | Physical Therapy Assistant | 546 E Sandy Lake Rd Ste 110, Coppell, TX 75019-5787 | 2019-05-11 |
| 1316439862 | Amanda Mccauley | Physical Therapy Assistant | 546 E Sandy Lake Rd Ste 110, Coppell, TX 75019-5787 | 2018-05-31 |
| 1205352754 | Chris Ryan Guerrero | Chiropractor | 546 E Sandy Lake Rd Ste 110, Coppell, TX 75019-5787 | 2017-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366065997 | Siai, Pllc | Pain Medicine | 149 E State Highway 121, Suite 105, Coppell, TX 75019 | 2020-05-18 |
| 1609498146 | Carie Medical Group (de), P.a. | Internal Medicine | 8951 Cypress Waters Blvd., Suite 160-1045, Dallas, TX 75019 | 2020-05-07 |
| 1154981983 | Coe Dentistry Pllc | Dentist | 137 Sh 121, Ste 110, Coppell, TX 75019 | 2019-06-14 |
| 1831655695 | Nicole Erhart | Physical Therapist | 3100 Olympus Blvd, Suite 500, Dallas, TX 75019 | 2019-02-18 |
| 1780140467 | Leah Faith Fifelski | Physical Therapist | 3100 Olympus Blvd. Suite 500, Dallas, TX 75019 | 2019-02-18 |
| 1780140988 | Living Euphoria, LLC | Community/Behavioral Health | 106 N Denton Tap Rd Ste 210 #151, Coppell, TX 75019 | 2019-02-13 |
| 1982176954 | Katie Cunningham | Physical Therapist | 3100 Olympus Blvd Ste 500, Coppell, TX 75019 | 2019-01-01 |
| 1659853000 | Shelley Kniss | Licensed Vocational Nurse | 1717 E Beltline Rd Apt 1323, Coppell, TX 75019 | 2018-09-02 |
| 1881197705 | Natasha Paulina Boylan | Speech-Language Pathologist | 370 W Highway 121, Ste. 105, Coppell, TX 75019 | 2018-03-16 |
| 1407354392 | Mahvash Roya Soltani | Nurse Practitioner | 1323 Barrington Dr., Coppell, TX 75019 | 2018-01-25 |
| Find all providers in zip 75019 | ||||
| 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 |
|---|---|---|---|---|
| 1649885708 | Madison Butzer | Physical Therapist | 704 Bent Tree Ct, Coppell, TX 75019-6122 | 2020-09-14 |
| 1982176954 | Katie Cunningham | Physical Therapist | 3100 Olympus Blvd Ste 500, Coppell, TX 75019 | 2019-01-01 |
| 1063925204 | Damon Will Meekins | Physical Therapist | 543 Forest Hill Dr, Coppell, TX 75019-6635 | 2017-11-09 |
| 1871010520 | Hannah Parcel | Physical Therapist | 106 N Denton Tap Rd Ste 220, Coppell, TX 75019-2139 | 2017-08-24 |
| 1205239712 | Junhak Lee | Physical Therapist | 215 N Moore Rd Apt 2001, Coppell, TX 75019-3035 | 2014-09-29 |
| 1538580998 | Heather Means | Physical Therapist | 108 Hill Dr, Coppell, TX 75019-3559 | 2014-01-02 |
| 1154696540 | Shefali Dhir | Physical Therapist | 413 W Bethel Rd Ste 400, Coppell, TX 75019 | 2012-03-19 |
| 1437372125 | Lakewood Pediatric Therapy | Physical Therapist | 1203 Crestside Drive, Suite 150, Coppell, TX 75019-4952 | 2007-04-11 |
| 1861562332 | Amy Louise Goddard | Physical Therapist | 1199 S Belt Line Rd Ste 140, Coppell, TX 75019-7610 | 2006-11-09 |
| 1033130828 | Prohealth | Physical Therapist | 601 Canyon Dr Ste 100, Coppell, TX 75019-3860 | 2006-07-21 |
| Find all providers in COPPELL | ||||
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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.