CAITLIN MORIAH CLARK (NPI# 1649791005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649791005 |
| Entity Type | Individual |
| Full Name | CAITLIN MORIAH CLARK |
| Credential | PT, DPT |
| Practice Address |
1995 N Park Pl Se Ste 410 Atlanta GA 30339-2072 |
| Practice Telephone | 7708500390 |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2017-07-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT012941 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659858249 | Caitlin Mallory Clark | Psychologist | Michael E. Debakey Va Medical Center, 2002 Holcombe Blvd, Houston, TX 77030 | 2018-07-26 |
| 1164870580 | Caitlin Clark | Case Manager/Care Coordinator | 2878 N Gregg Ave, Apt 6, Fayetteville, AR 72703-5556 | 2016-05-26 |
| 1821401183 | Caitlin Elizabeth Clark | Speech-Language Pathologist | 9109 Cub Trl, Raleigh, NC 27615 | 2014-06-04 |
| 1447865894 | Caitlin Clark | Social Worker | 1 Boston Medical Ctr Pl, Boston, MA 02118-2908 | 2020-09-12 |
| 1679101539 | Caitlin Marie Clark | Student in an Organized Health Care Education/Training Program | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2020-03-27 |
| 1760018279 | Caitlin Clark | Social Worker | 4c North Ave Ste 423, Bel Air, MD 21014-2334 | 2020-03-16 |
| 1093285017 | Caitlin E Clark | Registered Nurse | 9100 W 74th St, Shawnee Mission, KS 66204-4004 | 2018-12-03 |
| 1992288807 | Caitlin Alysse Clark | Pharmacist | 700 Childrens Dr, Columbus, OH 43205-2639 | 2018-09-07 |
| 1699255570 | Caitlin Jade Clark | Physical Therapy Assistant | 225 E Ward St, Goliad, TX 77963-4006 | 2018-08-20 |
| 1689117533 | Caitlin Clark | Music Therapist | 3013 Sunset Ln, Schenectady, NY 12303-5515 | 2016-11-27 |
| Street Address |
1995 N PARK PL SE STE 410 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30339-2072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205347010 | Jennifer Delman | Physical Therapist | 1995 N Park Pl Se Ste 410, Atlanta, GA 30339-2072 | 2017-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891303426 | Cheryl E Williams | Counselor | 1870 The Exchange, Suite 200 - 361, Atlanta, GA 30339 | 2020-07-20 |
| 1245854371 | Synergia Integrated Telebehavioral Health | Clinic/Center | 3941 Old Atlanta Station Drive, Southeast, Atlanta, GA 30339 | 2020-06-04 |
| 1972123883 | Elizabeth Newton, Psyd and Assoc Inc | Psychologist | 1827 Powers Ferry Rd, Bldg 21, Atlanta, GA 30339 | 2020-04-21 |
| 1881165207 | Le Reve Medical Clinic PC | Family Medicine | 1827 Powers Ferryy Rd Se Bldg 7, Suite 150, Atlanta, GA 30339 | 2018-12-11 |
| 1013499821 | Deonna Pennamon | Specialist/Technologist | 5625 Suffex Green Lane, Atlanta, GA 30339 | 2018-08-29 |
| 1205326915 | Matthew Buyert | Counselor | 1827 Powers Ferry Rd Se Ste 22, Atlanta, GA 30339 | 2018-05-17 |
| 1760991632 | Horizons Unlimited Professional Services Inc. | Community/Behavioral Health | 1755 The Exchange Se Ste 190, Atlanta, GA 30339 | 2017-09-23 |
| 1932624418 | Kheder Basheer | Student in an Organized Health Care Education/Training Program | 3224 Post Woods Dr., Apt E, Atlanta, GA 30339 | 2017-08-07 |
| 1417486820 | Ashley Drake | Counselor | 4695 N Church Ln Se Apt 10306, Atlanta, GA 30339 | 2017-06-08 |
| 1992248298 | New Legacy Counseling and Training Center | Point of Service | 3350 Riverwood Parkway, Suite 1925, Atlanta, GA 30339 | 2016-11-18 |
| Find all providers in zip 30339 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669862769 | Westside Physical Therapy, LLC | Physical Therapist | 1695 Marietta Blvd Nw, At Atlanta Ballet, Atlanta, GA 30318-3644 | 2015-01-27 |
| 1689073553 | Ilana Danneman | Physical Therapist | 2016 Lakesprings Way, Atlanta, GA 30338-4414 | 2014-08-17 |
| 1366851107 | Mackenzie Olson | Physical Therapist | 1365 Clifton Rd Ne Ste 2218, Atlanta, GA 30322-1013 | 2014-08-06 |
| 1992066013 | Nia I Seidu-clark | Physical Therapist | 688 Spring St, Atlanta, GA 30354-1414 | 2012-06-05 |
| 1750601464 | Audrey K Jones | Physical Therapist | 195 Arizona Ave., L/w-2, Suite 400, Atlanta, GA 30307 | 2010-06-03 |
| 1588995054 | Stacy Hosp | Physical Therapist | 3280 Peachtree Rd Ne, 225, Atlanta, GA 30305-2430 | 2010-01-24 |
| 1326372293 | Leslie K Wolfe | Physical Therapist | 1144 Zimmer Dr Ne, Atlanta, GA 30306-3321 | 2009-09-25 |
| 1912988098 | Injury Prevention & Management Consulting LLC | Physical Therapist | 1 Dunwoody Park, Suite 121, Atlanta, GA 30338-6202 | 2005-11-07 |
| 1982266284 | Sabrina Michelle Viola | Physical Therapist | 3200 Downwood Cir Nw Ste 700, Atlanta, GA 30327-5308 | 2019-07-08 |
| 1396259701 | Catalyst Physical Therapy | Physical Therapist | 800 Mount Vernon Hwy Ne Ste 325, Atlanta, GA 30328-4296 | 2017-11-21 |
| Find all providers in ATLANTA | ||||
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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.