Active NPIIndividual provider

Timothy J Clark, PT, DPT

Physical Therapist in Delran, New Jersey

NPI Number1518731298
Practice location
1341F Fairview Blvd, Delran, NJ 08075
Fax
856-824-1407
Last updated
November 13, 2023

Timothy John Clark is a Physical Therapist based in Delran, NJ. Timothy John Clark practices in Delran, NJ and has the professional credentials of PT, DPT. The NPI Number for Timothy John Clark is 1518731298 and holds a License No. PT013766L (PA). The current practice location address for Timothy John Clark is 1341F Fairview Blvd, Delran, NJ 08075 and can be reached out via phone at 856-461-9393 and via fax at 856-824-1407.

Provider Profile Details

NPI Number
1518731298
Provider Name
Timothy John Clark
Credential
PT, DPT
Provider Entity Type
Individual
Gender
Male
Address
1341F Fairview Blvd, Delran, NJ 08075
Phone Number
856-461-9393
Fax Number
856-824-1407
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
November 13, 2023
Last Update Date
November 13, 2023
Certification Date
November 13, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
1341F Fairview Blvd
Delran, NJ 08075
City
Delran
Zip
08075
Phone Number
856-461-9393
Fax Number
856-824-1407
Delran, NJ 08075Get directions →

Provider Business Mailing Address Details

Address
1650 Lyndon Farm CT Ste 300
Louisville, KY 40223-5005
City
Louisville
State
KY
Zip
40223-5005
Phone Number
856-677-4000
Fax Number
856-234-3014

License Information

License Number (1)
PT013766L
License State (1)
PA
Taxonomy (1)
Physical Therapist · 225100000X
License Number (2)
40QA00898300
License State (2)
NJ
Taxonomy (2)
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 Timothy J Clark, PT, DPT?

The NPI number of Timothy J Clark, PT, DPT is 1518731298. It was assigned on November 13, 2023 and is currently active in the NPPES registry.

What is the specialty of Timothy J Clark, PT, DPT?

Timothy J Clark, PT, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in PA under license number PT013766L.

Where does Timothy J Clark, PT, DPT practice?

The practice location is 1341F Fairview Blvd, Delran, NJ 08075. The office can be reached at 856-461-9393 (phone) or 856-824-1407 (fax).

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 1518731298 directly on the NPPES registry website.

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