KIMBERLY A CLARK (NPI# 1902900293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902900293 |
| Entity Type | Individual |
| Full Name | KIMBERLY A CLARK |
| Credential | PT |
| Practice Address |
614 Monkton Rd Bristol VT 05443-5392 |
| Mailing Address |
621 Split Rock Rd New Haven VT 05472-2106 |
| Practice Telephone | 8023491808 |
| Practice Fax Number | 8024532988 |
| Mailing Telephone | 8028779929 |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2020-02-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 040.0002918 | VT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225100000X | Physical Therapist | 0400002918 | VT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 6702477 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902362452 | Kimberly Michelle Clark | Technician, Other | 2819 Se Brodiaea Ct, Hillsboro, OR 97123-5201 | 2019-02-20 |
| 1780037994 | Kimberly Clark | Nurse Practitioner | 11251 Westwood Ave, Denham Springs, LA 70726-6947 | 2016-07-22 |
| 1053651869 | Kimberly Gail Clark | Hearing Instrument Specialist | 401 Apperson Dr, Salem, VA 24153-7026 | 2013-02-15 |
| 1952660524 | Kimberly Jo Clark | Licensed Practical Nurse | 334 Elmwood Ave, Barberton, OH 44203-1153 | 2012-05-16 |
| 1336421999 | Kimberly D Clark | Speech-Language Pathologist | 1524 Lexington Road, Clovis, NM 88101-6846 | 2011-09-09 |
| 1376878595 | Kimberly Clark | Physical Therapist | 101 S Kraemer Blvd Ste 125, Placentia, CA 92870-6100 | 2009-10-06 |
| 1609050913 | Kimberly Irene Clark | Counselor | 3077 Coolidge Ave, Costa Mesa, CA 92626-2809 | 2007-12-21 |
| 1053591875 | Kimberly Ann Clark | Counselor | 1516 S Boston Ave, Suite 100, Tulsa, OK 74119-4003 | 2007-11-08 |
| 1841400868 | Kimberly Clark | Social Worker | 4350 Woodland Ave, Jackson, MS 39206-3955 | 2007-05-22 |
| 1114996931 | Kimberly Sue Clark | Licensed Practical Nurse | 4563 S Ridge Rd E, Geneva, OH 44041-7310 | 2006-03-15 |
| Street Address |
614 MONKTON RD |
| City | BRISTOL |
| State | VT |
| Zip Code | 05443-5392 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093345811 | Clark Physical Therapy & Bodywork, Plc | Clinic/Center | 614 Monkton Rd, Bristol, VT 05443-5392 | 2020-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124547344 | Amanda Elnora Knight | Occupational Therapist | 2555 Monkton Road, Bristol, VT 05443 | 2017-09-19 |
| 1841655289 | Michelle S. Davis | Speech-Language Pathologist | 220 Airport Drive, Mt. Abraham Union Middle/high School, Bristol, VT 05443 | 2015-12-30 |
| 1871840843 | Five-town Health Alliance, Inc | Family Medicine | 61 Pine Street, Building 4, Bristol, VT 05443 | 2012-08-09 |
| 1477855500 | Cassandra Corcoran | Counselor | 2722 Mountain Road, Bristol, VT 05443 | 2010-11-22 |
| 1427207182 | Chiropractic Health & Wellness PC | Chiropractor | 14 School St., Suite 105, Bristol, VT 05443 | 2008-09-17 |
| 1477756526 | Jennifer Ann Oxford | Occupational Therapist | 71 Mountain Street, Live Full Therapies LLC, Bristol, VT 05443 | 2007-06-07 |
| 1477685899 | Kenneth Schoen | Counselor | 802 Forge Hill Road, Lincoln, VT 05443 | 2007-03-12 |
| 1881747384 | Bristol Rescue Squad, Inc. | Ambulance | 45 Monkton Road, Bristol, VT 05443 | 2007-01-19 |
| 1730268103 | Diane K Greenberg | Physical Therapist | 167 Monkton Road, Suite 101b, Bristol, VT 05443 | 2006-11-04 |
| 1992800684 | Ann Dreher Fisher | Counselor | 14 School Street, Suite #9, Bristol, VT 05443 | 2006-09-14 |
| Find all providers in zip 05443 | ||||
| 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 |
|---|---|---|---|---|
| 1033726906 | Carol G Duprey | Physical Therapist | 89 Fair St, Bristol, CT 06010-5531 | 2020-09-25 |
| 1598246068 | Maryann Bishop | Physical Therapist | 7 Creek Lane, Bristol, RI 02809 | 2018-08-23 |
| 1033633193 | Amber Leigh Grundy | Physical Therapist | 100 Green Ln Ste 1, Bristol, PA 19007-5600 | 2017-07-31 |
| 1730630401 | Molly S Poulin | Physical Therapist | 665 Terryville Ave Unit 1, Bristol, CT 06010-4078 | 2016-10-18 |
| 1508214701 | Sarah Scruggs | Physical Therapist | 320 Bristol West Blvd., Suite 2a, Bristol, TN 37620-8773 | 2016-05-27 |
| 1619351301 | Kerri Estrella | Physical Therapist | 5 Christopher Dr, Bristol, RI 02809-4537 | 2015-07-13 |
| 1659765584 | Suzanne Matulis | Physical Therapist | 49 Pierce St, Bristol, CT 06010-5922 | 2015-03-28 |
| 1699186866 | Alexandra Ashley Nelson | Physical Therapist | 1430 Volunteer Pkwy Ste 6, Bristol, TN 37620-6062 | 2014-05-09 |
| 1922421338 | Kaitlyn Burns | Physical Therapist | 48 Hardwick Rd, Bristol, CT 06010-5464 | 2014-01-22 |
| 1245662733 | Megan Louise Becker | Physical Therapist | 1717 Bath Rd, N10, Bristol, PA 19007-2747 | 2013-08-06 |
| Find all providers in BRISTOL | ||||
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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.