CARLY CLARK (NPI# 1790151256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790151256 |
| Entity Type | Individual |
| Full Name | CARLY CLARK |
| Practice Address |
159 W 1st St Oswego NY 13126-2045 |
| Mailing Address |
1308 Greymoor Way Baldwinsville NY 13027-9163 |
| Practice Telephone | 3153429575 |
| Mailing Telephone | 8454926454 |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2015-08-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 010006 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518471697 | Carly Clark | Dietitian, Registered | 1267 Norberry Ct Apt 36, Cranberry Township, PA 16066-5117 | 2017-11-28 |
| 1760827356 | Carly Rene' Clark | Advanced Practice Dental Therapist | 3324 N Arlington Pl, Portland, OR 97217-7204 | 2013-05-08 |
| 1427436773 | Carly Clark | Dental Hygienist | 2828 Zuni St, Apt 110, Denver, CO 80211-4331 | 2015-05-07 |
| 1518106632 | Carly Ann Clark | Massage Therapist | 127 W 79th St, Suite 4, New York, NY 10024-6416 | 2009-02-12 |
| Street Address |
159 W 1ST ST |
| City | OSWEGO |
| State | NY |
| Zip Code | 13126-2045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821065277 | Tara Price-palmer | Occupational Therapist | 159 W 1st St, Oswego, NY 13126-2045 | 2006-03-03 |
| 1891394284 | Reagan L Burker Hulbert | Specialist | 159 W 1st St, Oswego, NY 13126-2045 | 2020-10-18 |
| 1366059578 | Danielle Marie Levenson | Speech-Language Pathologist | 159 W 1st St, Oswego, NY 13126-2045 | 2020-09-30 |
| 1255948675 | Kelly A Nolan | Physical Therapist | 159 W 1st St, Oswego, NY 13126-2045 | 2020-09-29 |
| 1427665355 | Ellen Marie Patulski | Specialist | 159 W 1st St, Oswego, NY 13126-2045 | 2020-09-24 |
| 1497362594 | Sarah Margaret Mihalko | Occupational Therapist | 159 W 1st St, Oswego, NY 13126-2045 | 2020-09-23 |
| 1407462963 | Victoria Lynn Morsette | Specialist | 159 W 1st St, Oswego, NY 13126-2045 | 2020-09-21 |
| 1003422593 | Christina Ann Macholl | Specialist | 159 W 1st St, Oswego, NY 13126-2045 | 2020-09-20 |
| 1679189344 | Arizona Jack Hedrick | Physical Therapist | 159 W 1st St, Oswego, NY 13126-2045 | 2020-09-18 |
| 1326652314 | Kelsey D Haven | Occupational Therapist | 159 W 1st St, Oswego, NY 13126-2045 | 2020-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303572 | Elise Fitzsimmons | Specialist/Technologist | 9 Laker Hall, Oswego, NY 13126 | 2020-10-15 |
| 1023651742 | Jessica Lynn Metzger | Physician Assistant | 300 Ny-104 Suite 1, Oswego, NY 13126 | 2019-10-25 |
| 1245887009 | Maureen Adams | Technician | 30 Stone Ridge Drive, Oswego, NY 13126 | 2019-08-26 |
| 1285128314 | Justin Raymond Beebe | Nurse Practitioner | 300 State Route 104 Ste 2, Oswego, NY 13126 | 2018-06-21 |
| 1801311220 | Lynne M Wallace | Registered Nurse | 29 Birch Lane 17b, Oswego, NY 13126 | 2017-08-07 |
| 1497203962 | Lindsay Cheslock | Local Education Agency (LEA) | 529 County Route 25, Oswego, NY 13126 | 2016-09-14 |
| 1942757919 | Aimee Devinny | Registered Nurse | 21 Twin Orchard Drive, Oswego, NY 13126 | 2016-09-07 |
| 1083160295 | Cameron Delmotte | Specialist | 159 West Frist Street, Oswego, NY 13126 | 2016-08-28 |
| 1508319187 | Samantha Thayer | Occupational Therapist | 159 West First Oswego St, Oswego, NY 13126 | 2016-07-29 |
| 1104279595 | Vikram Jala | Internal Medicine | 105 County Route 45a Ste 400, Oswego, NY 13126 | 2016-07-20 |
| Find all providers in zip 13126 | ||||
| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) 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 |
|---|---|---|---|---|
| 1033766837 | Laura Charles | Physical Therapy Assistant | 525 Michigan St, Oswego, KS 67356-2024 | 2019-08-26 |
| 1073974085 | Jennifer Freeman | Physical Therapy Assistant | 10 County Route 45a, Oswego, NY 13126-4402 | 2016-03-18 |
| 1073890158 | Cynthia Lou Baxter | Physical Therapy Assistant | 299 E. River Rd., Oswego, NY 13126 | 2011-11-03 |
| 1770878613 | Kathleen Boron | Physical Therapy Assistant | 515 Cardinal Avenue, Oswego, IL 60543-7765 | 2011-06-17 |
| 1588819908 | Paul Franklin Franz | Physical Therapy Assistant | 6 Cochran St, Oswego, NY 13126-3160 | 2008-11-26 |
| 1619508967 | Arthur Ezzo | Physical Therapy Assistant | 110 W 6th St, Oswego, NY 13126-2507 | 2020-01-27 |
| 1942840061 | Heidi Futia | Physical Therapy Assistant | 159 W 1st St, Oswego, NY 13126-2260 | 2020-01-07 |
| 1225682891 | Zachary Francis Williams | Physical Therapy Assistant | 159 W 1st St, Oswego, NY 13126-2045 | 2019-07-31 |
| 1366096661 | Kelly Kristin Fregin | Physical Therapy Assistant | 159 W 1st St, Oswego, NY 13126-2045 | 2019-07-25 |
| 1538711635 | Stephen Geraci | Physical Therapy Assistant | 159 W 1st St, Oswego, NY 13126-2045 | 2019-07-10 |
| Find all providers in OSWEGO | ||||
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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.