Active NPIIndividual provider

Michael Clark

Physical Therapist in Oxford, Connecticut

NPI Number1528646379
Practice location
84 Oxford Road, Oxford, CT 06478-1971
Fax
203-881-0894
Last updated
April 1, 2021

Michael Clark is a Physical Therapist based in Oxford, CT. Michael Clark practices in Oxford, CT. The NPI Number for Michael Clark is 1528646379 and holds a License No. 13032 (CT). The current practice location address for Michael Clark is 84 Oxford Road, Oxford, CT 06478-1971 and can be reached out via phone at 203-881-0830 and via fax at 203-881-0894.

Provider Profile Details

NPI Number
1528646379
Provider Name
Michael Clark
Provider Entity Type
Individual
Gender
Male
Address
84 Oxford Road, Oxford, CT 06478-1971
Phone Number
203-881-0830
Fax Number
203-881-0894
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
April 1, 2021
Last Update Date
April 1, 2021
Certification Date
April 1, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
84 Oxford Road
Oxford, CT 06478-1971
City
Oxford
Zip
06478-1971
Phone Number
203-881-0830
Fax Number
203-881-0894
Oxford, CT 06478Get directions →

Provider Business Mailing Address Details

Address
22 Tompkins Street
Waterbury, CT 06708-1458
City
Waterbury
State
CT
Zip
06708-1458
Phone Number
203-419-0381

License Information

License Number
13032
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 Michael Clark?

The NPI number of Michael Clark is 1528646379. It was assigned on April 1, 2021 and is currently active in the NPPES registry.

What is the specialty of Michael Clark?

Michael Clark is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in CT under license number 13032.

Where does Michael Clark practice?

The practice location is 84 Oxford Road, Oxford, CT 06478-1971. The office can be reached at 203-881-0830 (phone) or 203-881-0894 (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 1528646379 directly on the NPPES registry website.

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