MRS. CORRINE ANNE CLARK (NPI# 1679770465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679770465 |
| Entity Type | Individual |
| Full Name | MRS. CORRINE ANNE CLARK |
| Credential | PT |
| Practice Address |
400 Craven Rd San Marcos CA 92078-4201 |
| Mailing Address |
1351 Felicita Ln Escondido CA 92029-6631 |
| Practice Telephone | 7605105659 |
| Mailing Telephone | 7604892666 |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT21058 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
400 CRAVEN RD |
| City | SAN MARCOS |
| State | CA |
| Zip Code | 92078-4201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619975232 | Benny Joe Martin | Family Medicine | 400 Craven Rd, San Marcos, CA 92078-4201 | 2005-07-08 |
| 1154804250 | Kelly Nicholas | Respiratory Therapist, Registered | 400 Craven Rd, San Marcos, CA 92078-4201 | 2018-09-13 |
| 1154809978 | Cassandra Evette Roberts | Respiratory Therapist, Registered | 400 Craven Rd, San Marcos, CA 92078-4201 | 2018-08-02 |
| 1023596442 | Jennifer Alexander | Respiratory Therapist, Certified | 400 Craven Rd, San Marcos, CA 92078-4201 | 2018-07-30 |
| 1639681034 | Alyssa Maples | Physical Therapist | 400 Craven Rd, San Marcos, CA 92078-4201 | 2017-10-25 |
| 1649727470 | Oliver Marselo Fregoso | Technician, Other | 400 Craven Rd, San Marcos, CA 92078-4201 | 2016-09-09 |
| 1487013595 | Jacqueline Bui | Pharmacist | 400 Craven Rd, San Marcos, CA 92078-4201 | 2016-02-17 |
| 1457710758 | Nikki Pham | Pharmacist | 400 Craven Rd, San Marcos, CA 92078-4201 | 2016-02-15 |
| 1356709364 | Mydung Duong | Pharmacist | 400 Craven Rd, San Marcos, CA 92078-4201 | 2016-02-04 |
| 1073991261 | Tracy M Abrams | Registered Nurse | 400 Craven Rd, Surgery Center, Building 4, San Marcos, CA 92078-4201 | 2015-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437623253 | Tania Borja-rodriguez | Nurse Practitioner | 334 Via Vera Cruz #257, San Marcos, CA 92078 | 2019-01-15 |
| 1558846824 | Mckenzie Daile Sorensen | Dentist | 145 S Las Posas Rd Ste 162, San Marcos, CA 92078 | 2018-10-02 |
| 1548750169 | West2north Medical Solutions Inc | Physical Medicine & Rehabilitation | 1595 Grand Ave Ste 100, San Marcos, CA 92078 | 2018-05-18 |
| 1700385747 | Wytoshery Monea Williams | Nurse Practitioner | 1912 Northstar Way, 130, San Marcos, CA 92078 | 2018-02-05 |
| 1457878415 | Smile Community Clinic Inc | Dentist | 670 W. San Marcos Blvd. Ste 103-b, San Marcos, CA 92078 | 2017-08-29 |
| 1740636232 | Ethelaine Centeno | Occupational Therapist | 1615 S. Rancho Santa Fe Road, San Marcos, CA 92078 | 2016-05-13 |
| 1336506203 | Nga Thien Ta | Pharmacist | 671 Rancho Santa Fe, San Marcos, CA 92078 | 2016-01-24 |
| 1689039349 | Kayleigh Ann Desrosiers | Physical Therapist | 137 S Las Posas Rd Ste 254, San Marcos, CA 92078 | 2015-12-23 |
| 1821475930 | Anna Yu | Social Worker | 310 S. Twin Oaks Valley Rd., #107-381, San Marcos, CA 92078 | 2015-04-28 |
| 1831582592 | Bewell Home Physical Therapy P C | Clinic/Center | 1582 W San Marcos Blvd Ste 105b, San Marcos, CA 92078 | 2015-03-05 |
| Find all providers in zip 92078 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992015697 | Clinton Mays | Physical Therapist | 2550 Hunter Rd, Suite 1104, San Marcos, TX 78666 | 2010-10-15 |
| 1154582781 | Brad Howland Jones | Physical Therapist | 456 E Mission Rd Ste 102, San Marcos, CA 92069-8803 | 2008-06-17 |
| 1285839605 | John Donald Garbrecht | Physical Therapist | 1432 Sundance Ave, San Marcos, CA 92078-7999 | 2007-06-16 |
| 1295242501 | Kameryn Kinney | Physical Therapist | 740 Nordahl Rd, San Marcos, CA 92069-3543 | 2018-01-08 |
| 1184179459 | Tiffany Jean Constantino I | Physical Therapist | 2550 Hunter Rd, Suite 1104, San Marcos, TX 78666-5263 | 2016-08-16 |
| 1144638131 | Haley Libecco | Physical Therapist | 740 Nordahl Rd, Ste 126, San Marcos, CA 92069-3543 | 2014-07-23 |
| 1881026391 | Thomas Francis Lawlor | Physical Therapist | 2550 Hunter Rd, Suite 1104, San Marcos, TX 78666-5263 | 2013-08-07 |
| 1407190937 | Lucas Edmund Pratt | Physical Therapist | 740 Nordahl Rd, Suite 126, San Marcos, CA 92069-3543 | 2012-11-21 |
| 1306007935 | Erik Ladd Siftar | Physical Therapist | 456 E Mission Rd Ste 102, San Marcos, CA 92069-8803 | 2008-06-17 |
| 1184829160 | Kurt Charles Sumpter Hartman | Physical Therapist | 400 Craven Rd, San Marcos, CA 92078-4201 | 2007-06-19 |
| Find all providers in SAN MARCOS | ||||
| City | SAN MARCOS |
| Zip Code | 92078 |
Please comment or provide details below to improve the information on MRS. CORRINE ANNE 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.