Active NPIIndividual provider

Susan C Clark

Physical Therapist in Newington, Connecticut

NPI Number1326063603
Practice location
705 N Mountain RD, Suite A-212, Newington, CT 06111-1412
Fax
—
Last updated
July 8, 2007

Susan C Clark is a Physical Therapist based in Newington, CT. Susan C Clark practices in Newington, CT. The NPI Number for Susan C Clark is 1326063603 and holds a License No. 3141 (CT). The current practice location address for Susan C Clark is 705 N Mountain RD, Suite A-212, Newington, CT 06111-1412 and can be reached out via phone at 860-953-0676.

Provider Profile Details

NPI Number
1326063603
Provider Name
Susan C Clark
Provider Entity Type
Individual
Gender
Female
Address
705 N Mountain RD, Suite A-212, Newington, CT 06111-1412
Phone Number
860-953-0676
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
July 13, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
705 N Mountain RD
Suite A-212
Newington, CT 06111-1412
Zip
06111-1412
Phone Number
860-953-0676
Newington, CT 06111Get directions →

Provider Business Mailing Address Details

Address
19 Central St
Suite H
Byfield, MA 01922-1233
City
Byfield
State
MA
Zip
01922-1233
Phone Number
978-462-4500
Fax Number
978-462-1275

License Information

License Number
3141
License State
CT
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Susan C Clark?

The NPI number of Susan C Clark is 1326063603. It was assigned on July 13, 2006 and is currently active in the NPPES registry.

What is the specialty of Susan C Clark?

Susan C Clark is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in CT under license number 3141.

Where does Susan C Clark practice?

The practice location is 705 N Mountain RD, Suite A-212, Newington, CT 06111-1412. The office can be reached at 860-953-0676 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1326063603 directly on the NPPES registry website.

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