KAITLIN T CLARK (NPI# 1750666426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750666426 |
| Entity Type | Individual |
| Full Name | KAITLIN T CLARK |
| Credential | P.T. |
| Practice Address |
15410 S Mountain Pkwy Ste: 112 Phoenix AZ 85044-6691 |
| Practice Telephone | 4807061161 |
| Practice Fax Number | 4807067409 |
| Mailing Telephone | 4807061161 |
| Mailing Fax Number | 4807067409 |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2011-11-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 9504 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251S0007X |
Physical Therapist Specialization: Sports |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396383170 | Kaitlin Effie Clark | Physical Therapist | 830 Washington St, Watertown, NY 13601-4034 | 2019-12-12 |
| 1114580172 | Kaitlin Clark | Behavior Technician | 265 S Harlan St, Lakewood, CO 80226-2261 | 2019-04-16 |
| Street Address |
15410 S MOUNTAIN PKWY STE: 112 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85044-6691 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679570931 | Lynsey Schmidt | Physical Therapist | 15410 S Mountain Pkwy, Suite 112, Phoenix, AZ 85044-6691 | 2005-07-01 |
| 1730557620 | Benjamin Kagen | Physical Therapist | 15410 S Mountain Pkwy, Suite 112, Phoenix, AZ 85044-6691 | 2015-09-09 |
| 1245648088 | Mlm Family LLC | Physician Assistant | 15410 S Mountain Pkwy, Suite 105, Phoenix, AZ 85044-6691 | 2014-07-24 |
| 1538508171 | Jordan Robert Brocker | Physical Therapist | 15410 S Mountain Pkwy, #112, Phoenix, AZ 85044-6691 | 2013-06-17 |
| 1154671238 | Lana Hussein Khatib | Physician Assistant | 15410 S Mountain Pkwy, Suite 105, Phoenix, AZ 85044-6691 | 2012-09-14 |
| 1265787634 | Michael K Heinrich | Physical Therapist | 15410 S Mountain Pkwy, 112, Phoenix, AZ 85044-6691 | 2012-07-20 |
| 1841513124 | Veronica Jo Shaw | Specialist/Technologist | 15410 S Mountain Pkwy, Ste 112, Phoenix, AZ 85044-6691 | 2010-03-01 |
| 1578891800 | Richard Edmond Kates | Emergency Medical Technician, Basic | 15410 S Mountain Pkwy, Phoenix, AZ 85044-6691 | 2009-11-24 |
| 1710064118 | Tess G Bowden | Physical Therapy Assistant | 15410 S Mountain Pkwy, Suite 112, Phoenix, AZ 85044-6691 | 2006-11-01 |
| 1013094473 | Robert J. Henert | Physical Therapist | 15410 S Mountain Pkwy, Suite 112, Phoenix, AZ 85044-6691 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023637345 | Jamie Roshun Dawson | Contractor | 13229 S 48th St Apt 3051, Phoenix, AZ 85044 | 2020-04-16 |
| 1548807514 | The Horizon Chiropractic Center | Clinic/Center | 4425 East Agave Road Suite 104, Phoenix, AZ 85044 | 2019-12-09 |
| 1134777634 | Elite Therapy of Az | Occupational Therapist | 15245 S 48th Street, Phoenix, AZ 85044 | 2019-08-28 |
| 1487217584 | Vitae Felix | Psychologist | 5010 E Warner Rd Ste 213, Phoenix, AZ 85044 | 2019-04-16 |
| 1578082392 | Karena Janiece Herron | Nurse Practitioner | 13625 S 48th St Apt 2100, Phoenix, AZ 85044 | 2017-09-13 |
| 1053847319 | Amanda Girardi | Dentist | 4726 E Verbena Dr, Phoenix, AZ 85044 | 2017-05-05 |
| 1518402593 | Janet Swift | Counselor | 10201 South 51st Street; Suite 130, Phoenix, AZ 85044 | 2016-12-29 |
| 1588074876 | Suzanne Morris | Nurse Practitioner | 4802 E. Ray Rd., Ste 23-364, Phoenix, AZ 85044 | 2014-05-07 |
| 1891117974 | Dr. Cameron Khavari Pllc | Chiropractor | 4001 E Mountain Sky Ave Ste 101, Phoenix, AZ 85044 | 2014-01-09 |
| 1316213416 | Shyam Sundar Tangri | Internal Medicine | 13623 S. 45th St, Phoenix, AZ 85044 | 2012-03-22 |
| Find all providers in zip 85044 | ||||
| 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 |
|---|---|---|---|---|
| 1093321895 | Launch Physical Therapy & Performance Center, LLC | Physical Therapist | 1500 E Thomas Rd Unit 110, Phoenix, AZ 85014-5708 | 2020-09-17 |
| 1881205417 | Diligence Physical Therapy and Wellness, Pllc | Physical Therapist | 3101 N. Central Avenue, Suite 183 # 518, Phoenix, AZ 85012 | 2020-08-17 |
| 1255943874 | Clarke B Antonio | Physical Therapist | 11225 N 28th Dr # Srf100, Phoenix, AZ 85029-5606 | 2020-08-17 |
| 1174133805 | Samuel Curtis | Physical Therapist | 4050 E Cotton Center Blvd Ste 18, Phoenix, AZ 85040-8862 | 2020-08-06 |
| 1548878572 | Rachel Lynn Wood | Physical Therapist | 1860 N 95th Ln Ste 105, Phoenix, AZ 85037-4333 | 2020-07-15 |
| 1821615303 | Nicholas Johnston | Physical Therapist | 4550 N Black Canyon Hwy, Phoenix, AZ 85017-3714 | 2020-06-30 |
| 1568088979 | Alexandra Ashby | Physical Therapist | 2229 N 17th Ave, Phoenix, AZ 85007-1403 | 2020-06-22 |
| 1508490301 | Lisa Ann Viscuso | Physical Therapist | 13 Cooperstown Ct, Phoenix, MD 21131-1328 | 2020-03-02 |
| 1487287496 | Ulrich Ernst Grigo | Physical Therapist | 14431 S 43rd Pl, Phoenix, AZ 85044-6127 | 2020-02-18 |
| 1750914941 | Kevin D Allen | Physical Therapist | 2005 W Happy Valley Rd Ste 170, Phoenix, AZ 85085-2898 | 2020-02-17 |
| Find all providers in PHOENIX | ||||
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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.