PETER MICHAEL CLARK (NPI# 1891789087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891789087 |
Entity Type | Individual |
Full Name | PETER MICHAEL CLARK |
Credential | ATC, CSCS |
Practice Address |
23 Bridgton Rd Westbrook ME 04092-3653 |
Mailing Address |
96 Grandview Ave South Portland ME 04106-6114 |
Practice Telephone | 2077973477 |
Enumeration Date | 2005-09-02 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT226 | ME | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548616485 | Peter Clark | Ophthalmology | 3601 4th St Rm 2a100, Lubbock, TX 79430-1931 | 2016-05-10 |
1154660314 | Peter Edward Clark | Physical Therapy Assistant | 630 Linda Ct, Palm Harbor, FL 34684-4624 | 2013-02-07 |
1407174998 | Peter A Clark | Social Worker | 10 Water St Ste 306, Waterville, ME 04901-6566 | 2010-05-10 |
1447310289 | Peter Clark | Psychologist | 203 W 21st Ave, Covington, LA 70433-3151 | 2006-12-11 |
1821106709 | Peter Clark | Internal Medicine | 670 Sierra Rose Dr, Reno, NV 89511-2072 | 2006-08-29 |
1679575385 | Peter Clark | Contractor | 785 Central Rd, Rye Beach, NH 03871-9005 | 2005-08-12 |
1346511094 | Peter James Clark | Specialist/Technologist | 502 E Boone Ave, Ad Box 66, Spokane, WA 99258-1774 | 2012-01-25 |
1710294434 | Peter Clark | Counselor | 519 17th St, Suite 210, Oakland, CA 94612-1527 | 2010-09-01 |
1164664967 | Peter J Clark | Psychiatry & Neurology | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2009-03-25 |
1528113628 | Peter Clark | Family Medicine | 85 Sierra Park Rd, Mammoth Lakes, CA 93546-0660 | 2007-01-25 |
Street Address |
23 BRIDGTON RD |
City | WESTBROOK |
State | ME |
Zip Code | 04092-3653 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609382290 | Brittany Creamer | Specialist/Technologist | 23 Bridgton Rd, Westbrook, ME 04092-3653 | 2017-12-19 |
1134466824 | Shawn Macdonald | Hearing Instrument Specialist | 23 Bridgton Rd, Ste 1, Westbrook, ME 04092-3653 | 2013-01-15 |
1134401060 | Catherine A Heath | Physical Therapist | 23 Bridgton Rd, Suite 2, Westbrook, ME 04092-3653 | 2011-09-16 |
1881784429 | Riverview Physical Therapy Limited Partnership | Physical Therapist | 23 Bridgton Rd, Suite 2, Westbrook, ME 04092-3653 | 2006-10-13 |
1588770986 | Tracey Lynn Carrier | Specialist/Technologist | 23 Bridgton Rd, Suite 2, Westbrook, ME 04092-3653 | 2006-08-21 |
1255356226 | Heidi Batchelder | Physical Therapist | 23 Bridgton Rd, Suite 2, Westbrook, ME 04092-3653 | 2006-07-12 |
1073540860 | Nathaniel Francis Runge | Physical Medicine & Rehabilitation | 23 Bridgton Rd, Suite 2, Westbrook, ME 04092-3653 | 2006-06-27 |
1538129986 | Gregory Wayne Knapton | Physical Therapist | 23 Bridgton Rd, Suite 2, Westbrook, ME 04092-3653 | 2006-03-27 |
1336108471 | Kristin Leigh Ryan | Specialist/Technologist | 23 Bridgton Rd, Ste 2 Riverview Physical Therapy, Westbrook, ME 04092 | 2006-03-18 |
1225007503 | Michael Louis Viricel | Physical Therapist | 23 Bridgton Rd, Suite 2, Westbrook, ME 04092-3653 | 2006-03-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023529013 | Easy Life LLC | In Home Supportive Care | 77 Mechanic St, Westbrook, ME 04092 | 2017-10-17 |
1932644325 | Onelove Homecare, LLC | In Home Supportive Care | 24 Pike Street, Westbrook, ME 04092 | 2016-12-21 |
1184171613 | Conor Cannon I | Counselor | 1500 Saunders Way, 900, Westbrook, ME 04092 | 2016-09-01 |
1104201011 | Dana L Villmore | Physician Assistant | Intermed Onsite At Idexx, 1 Idexx Drive, Westbrook, ME 04092 | 2015-07-22 |
1407249147 | Allyson Bea Lowell | Social Worker | 170 Forest Street, Westbrook, ME 04092 | 2015-03-05 |
1477969541 | Gretchen Jefferson | Psychologist | 15 Saunders Way Woodfords Family Services, Westbrook, ME 04092 | 2014-07-09 |
1053725176 | Anita Aaltje Devine | Massage Therapist | 89 Lamb Street, Westbrook, ME 04092 | 2014-06-17 |
1124449806 | Spectrum Staffing Solutions LLC | In Home Supportive Care | 1 Westbrook Commons, Suite 1, Westbrook, ME 04092 | 2013-12-23 |
1760816276 | Avita Stroudwater, LLC | Alzheimer Center (Dementia Center) | 320 Spring Street, Westbrook, ME 04092 | 2013-09-03 |
1659637742 | Kate Beever | Music Therapist | 54 West Valentine Street, Westbrook, ME 04092 | 2012-04-03 |
Find all providers in zip 04092 |
Taxonomy Code | 2255A2300X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Specialist/Technologist |
Specialization | Athletic Trainer |
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053829366 | Gwenyth Breslen | Specialist/Technologist | 12 Island View Dr, Westbrook, ME 04092-4159 | 2018-01-21 |
1528412012 | Dylan Bunting | Specialist/Technologist | 35201 360th Ave, Westbrook, MN 56183-2166 | 2016-04-20 |
1609382290 | Brittany Creamer | Specialist/Technologist | 23 Bridgton Rd, Westbrook, ME 04092-3653 | 2017-12-19 |
1831463785 | Jodi Marak Ouellette | Specialist/Technologist | 5 Pequot Park Rd, Suite 303, Westbrook, CT 06498-2856 | 2012-02-23 |
1588770986 | Tracey Lynn Carrier | Specialist/Technologist | 23 Bridgton Rd, Suite 2, Westbrook, ME 04092-3653 | 2006-08-21 |
1336108471 | Kristin Leigh Ryan | Specialist/Technologist | 23 Bridgton Rd, Ste 2 Riverview Physical Therapy, Westbrook, ME 04092 | 2006-03-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356958581 | Teresa Drag | Specialist/Technologist | 512 Paris Hill Rd, Paris, ME 04271 | 2020-10-01 |
1639784531 | Debra Lynn Gunn | Specialist/Technologist | 50 Church Rd, Holden, ME 04429-7152 | 2020-09-09 |
1639782550 | Madeleine Vivian Reid | Specialist/Technologist | 204 Maine Ave, Portland, ME 04103-3906 | 2020-08-29 |
1598377962 | Barbara Anne Cookson | Specialist/Technologist | 167 Wilson St, Brewer, ME 04412-2025 | 2020-08-18 |
1811533730 | Brianna Leslie Genthner | Specialist/Technologist | 389 Egypt Rd, Damariscotta, ME 04543-4306 | 2019-11-26 |
1376185785 | Mount Desert Island Ymca | Specialist/Technologist | 21 Park Street, Bar Harbor, ME 04609 | 2019-10-17 |
1043852981 | Diane Patricia Stone | Specialist/Technologist | 62 Turner St, Auburn, ME 04210-5953 | 2019-10-11 |
1326697145 | Karen Elizabeth Rendall | Specialist/Technologist | 120 Leach Hill Rd, Casco, ME 04015-3237 | 2019-09-04 |
1659929537 | Bronte Annette Fontaine | Specialist/Technologist | 7 Bickford Ave, Brunswick, ME 04011-3125 | 2019-09-03 |
1144889403 | Evan Mark Paradis | Specialist/Technologist | 100 Middle St Apt 1, Old Town, ME 04468-1480 | 2019-06-11 |
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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.