STEPHANIE RENAE CLARK (NPI# 1538447560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538447560 |
| Entity Type | Individual |
| Full Name | STEPHANIE RENAE CLARK |
| Credential | PT, DPT |
| Practice Address |
927 Battlefield Blvd N Suite 200 Chesapeake VA 23320-4853 |
| Mailing Address |
771 Pilot House Dr Suite A Newport News VA 23606-1990 |
| Practice Telephone | 7574363350 |
| Practice Fax Number | 7575479367 |
| Mailing Telephone | 7578732302 |
| Mailing Fax Number | 7578732306 |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2015-02-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 2305207045 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | AETNA | 9400791 | 01 |
| VA | 1538447560 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922612605 | Stephanie Clark | Massage Therapist | 15227 Spring Cor, San Antonio, TX 78247-1693 | 2020-09-01 |
| 1811516156 | Stephanie Clark | Social Worker | 10185 Isle St, Parker, CO 80134-5788 | 2020-04-15 |
| 1306486444 | Stephanie Clark | Licensed Practical Nurse | 636 Clay Ave Uppr, Rochester, NY 14613-1030 | 2020-01-07 |
| 1841681046 | Stephanie Clark | Technician, Other | 2917 S Ash Ct, Broken Arrow, OK 74012-7804 | 2015-02-09 |
| 1760816326 | Stephanie Diane Clark | Case Manager/Care Coordinator | 4613 Se 41st St, Del City, OK 73115-3703 | 2013-08-30 |
| 1932330545 | Stephanie D Clark | Social Worker | 16581 Us Highway 17 N Ste 600, Hampstead, NC 28443-7451 | 2009-07-30 |
| 1487719787 | Stephanie Clark | Licensed Practical Nurse | 55 Ramble Hill Lane, Millbrook, NY 12545 | 2006-12-27 |
| 1811057425 | Stephanie Clark | Dentist | 7601 A Germantown Ave, Philadelphia, PA 19119 | 2006-12-12 |
| 1700864733 | Stephanie Elaine Clark | Audiologist | 13934 N 59th Ave, Ste 120, Glendale, AZ 85306-4167 | 2006-01-09 |
| 1851395453 | Stephanie Clark | Chiropractor | 3 Elmwood Rd, Hancock, NH 03449-5629 | 2005-06-10 |
| Street Address |
927 BATTLEFIELD BLVD N SUITE 200 |
| City | CHESAPEAKE |
| State | VA |
| Zip Code | 23320-4853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306405048 | Ryan Abshear | Physical Therapist | 927 Battlefield Blvd N, Chesapeake, VA 23320-4853 | 2019-06-06 |
| 1801176748 | Tidewater Physical Therapy, LLC | Occupational Therapist | 927 Battlefield Blvd N, Suite 200, Chesapeake, VA 23320-4853 | 2011-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263499 | Trinity Hospice 1, LLC | Hospice Care, Community Based | 1401 Kempsville Road, Suite A, Unit 1, Chesapeake, VA 23320 | 2020-04-09 |
| 1538624804 | Shaniqah Mcleod | Home Health | 217 Centerville Turnpike N, Chesapeake, VA 23320 | 2019-01-31 |
| 1942764113 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1400 Kempsville Rd, Virginia Beach, VA 23320 | 2019-01-22 |
| 1639647993 | Madison Vansavage Maben | Orthotist | 433 Network Sta, Chesapeake, VA 23320 | 2018-11-05 |
| 1568947356 | Kelly M Muchetti | Massage Therapist | 1421 C. Kempsville Rd., Chesapeake, VA 23320 | 2018-09-27 |
| 1235612912 | L&s Home Health Care, LLC. | Home Health | 1545 Cossways Blv, Chesepeake, VA 23320 | 2018-09-10 |
| 1154803500 | Latricia A Patterson | Home Health | 813-a Professional Pl Ste 107, Chesapeake, VA 23320 | 2018-09-02 |
| 1164909586 | 4k Tresses | Durable Medical Equipment & Medical Supplies | 1220 Executive Blvd Ste 101, Chesapeake, VA 23320 | 2018-07-27 |
| 1831676105 | Lance Taylor | Technician | 1645 Crossways Blvd Ste 250, Chesapeake, VA 23320 | 2018-07-19 |
| 1023507688 | Sentoria Howell Harold | Social Worker | 920 Ventures Way Ste 4, Chesapeake, VA 23320 | 2018-05-08 |
| Find all providers in zip 23320 | ||||
| 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 |
|---|---|---|---|---|
| 1710586979 | Kimberly Glymph | Physical Therapist | 510 Independence Pkwy Ste 850, Chesapeake, VA 23320-5196 | 2020-10-20 |
| 1063036879 | Gwendolyn Withers | Physical Therapist | 747 Volvo Pkwy Ste 103, Chesapeake, VA 23320-1615 | 2020-06-08 |
| 1043843667 | Sandra Federico | Physical Therapist | 3800 Poplar Hill Rd Ste B, Chesapeake, VA 23321-5522 | 2020-02-21 |
| 1003472184 | Edwin Bryce Lee | Physical Therapist | 1512 Technology Dr Ste 102, Chesapeake, VA 23320-5979 | 2019-05-14 |
| 1427516988 | Personal Touch Therapy | Physical Therapist | 1304 Dominion Lakes Blvd, Chesapeake, VA 23320-6451 | 2019-03-04 |
| 1013405737 | Kirsteen Mitchell | Physical Therapist | 2008 Dock Landing Rd, Chesapeake, VA 23321-3512 | 2018-04-27 |
| 1588011555 | Grant William Hessberger | Physical Therapist | 801 Poindexter St Ste 219, Chesapeake, VA 23324-2358 | 2016-05-19 |
| 1700233814 | William Merle Bosley | Physical Therapist | 909 New Mill Dr, Chesapeake, VA 23322-7087 | 2016-05-18 |
| 1184081283 | Beth Ackerman | Physical Therapist | 712 Remington Ct, Chesapeake, VA 23322-5487 | 2016-01-20 |
| 1205201738 | Sherita Wilson | Physical Therapist | 330 Riviara Pl, Chesapeake, VA 23322-6949 | 2015-12-09 |
| Find all providers in CHESAPEAKE | ||||
| City | CHESAPEAKE |
| Zip Code | 23320 |
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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.