Otis Winston Clark (NPI# 1477864312, PAC ID# 7113112434) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1477864312 |
| PAC ID by PECOS | 7113112434 |
| Professional Enrollment ID | I20101112000276 |
| Full Name | Otis Winston Clark |
| Organization Legal Name | PT SOLUTIONS OF ACWORTH LLC |
| Address |
3455 Peachtree Indus Blvd Suite 130 Duluth GA 30096 |
| Phone Number | 6785344727 |
| Gender | M |
| Graduation Year | 2010 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 0042291817 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3455 Peachtree Indus Blvd, Suite 130, Duluth, GA 30096 | 6785344727 | PT SOLUTIONS OF ACWORTH LLC |
| 2061 Experiment Station Rd, Suite 403, Watkinsville, GA 30677-5328 | 6784593758 | PT SOLUTIONS OF ACWORTH LLC |
| Organization Legal Name | PT SOLUTIONS OF ACWORTH LLC |
| Physicians | 61 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin M Youtsey | Physical Therapy | Pt Solutions of Acworth LLC | 791 Joe Frank Harris Pkwy Se, Suite C, Cartersville, GA 30120-2469 |
| William Stewart Kremer | Physical Therapy | Pt Solutions of Acworth LLC | 8851 Macon Hwy, Athens, GA 30606-5264 |
| Ashley Burin | Physical Therapy | Pt Solutions of Acworth LLC | 1810 Cumming Hwy, Canton, GA 30115-2306 |
| Kathryn Gibbs | Physical Therapy | Pt Solutions of Acworth LLC | 1225 Knox Ave, Unit 100, North Augusta, SC 29841-4022 |
| Martha Gwaltney | Physical Therapy | Pt Solutions of Acworth LLC | 549 Amsterdam Neave, Atlanta, GA 30306-3472 |
| Jonathan Gillis | Physical Therapy | Pt Solutions of Acworth LLC | 650 Henderson Dr, Suite 310, Cartersville, GA 30120-3723 |
| Steven A Baptiste | Physical Therapy | Pt Solutions of Acworth LLC | 3300 Hamilton Mill Rd, Buford, GA 30519-4083 |
| Tarra D Taylor | Physical Therapy | Pt Solutions of Acworth LLC | 1810 Jonesboro Rd, Mcdonough, GA 30253-5960 |
| Christopher C Aurandt | Physical Therapy | Pt Solutions of Acworth LLC | 2061 Experiment Station Rd, Suite 403, Watkinsville, GA 30677-5328 |
| Julienne Marie Lambert | Physical Therapy | Pt Solutions of Acworth LLC | 1380 Milstead Ave Ne, Suite C, Conyers, GA 30012-3864 |
| Street Address |
3455 PEACHTREE INDUS BLVD SUITE 130 |
| City | DULUTH |
| State | GA |
| Zip | 30096 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katlyn Liley | Physical Therapy | Pt Solutions of Acworth LLC | 3455 Peachtree Indus Blvd, Duluth, GA 30096 |
| Dongik Shin | Physical Therapy | Pt Solutions of Acworth LLC | 3455 Peachtree Indus Blvd, Duluth, GA 30096 |
| Lauren Van Der Sluys | Physical Therapy | Pt Solutions of Acworth LLC | 3455 Peachtree Indus Blvd, Suite 130, Duluth, GA 30096 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven Mark Sommer | Chiropractic | 3699 Duluth Park Lane, Suite 110, Duluth, GA 30096 | |
| Janet S Waldt | Occupational Therapy | Peachtree Orthopaedic Clinic Pa | 3870 Pleasant Hill Road, Suite 1, Duluth, GA 30096 |
| Richard Reid Maxa | Internal Medicine | Maxa Internal Medicine Associates PC | 3505 Duluth Park Lane, Bldg 4 Suite 400, Duluth, GA 30096 |
| Cori Folkes Harrell | Nurse Practitioner | Maxa Internal Medicine Associates PC | 3505 Duluth Park Lane, Bldg 4 Suite 400, Duluth, GA 30096 |
| Benigno B Bobon | Internal Medicine | Maxa Internal Medicine Associates PC | 3505 Duluth Park Lane, Bldg 4 Suite 400, Duluth, GA 30096 |
| Joel Kent Phillips | Physician Assistant | Maxa Internal Medicine Associates PC | 3505 Duluth Park Lane, Bldg 4 Suite 400, Duluth, GA 30096 |
| Sherry E Johnson | Occupational Therapy | Peachtree Orthopaedic Clinic Pa | 3870 Pleasant Hill Road, Suite 1, Duluth, GA 30096 |
| Danielle R Mcgee | Physical Therapy | Peachtree Orthopaedic Clinic Pa | 3870 Pleasant Hill Road, Suite 1, Duluth, GA 30096 |
| Laura E Lashley | Nurse Practitioner | Maxa Internal Medicine Associates PC | 3505 Duluth Park Lane, Bldg 4 Suite 400, Duluth, GA 30096 |
| Elizabeth Cercone | Nurse Practitioner | Maxa Internal Medicine Associates PC | 3505 Duluth Park Lane, Bldg 4 Suite 400, Duluth, GA 30096 |
| Find all physicians in zip 30096 | |||
| City | DULUTH |
| Zip Code | 30096 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | DULUTH + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Otis Winston Clark.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.