Active NPIIndividual providerSole proprietor

Brian L Clark, PT

Physical Therapist in Wilton, Connecticut

NPI Number1619162542
Practice location
64 Danbury RD, Wilton, CT 06897-4429
Fax
—
Last updated
January 16, 2010

Brian L Clark is a Physical Therapist based in Wilton, CT. Brian L Clark practices in Wilton, CT and has the professional credentials of PT. The NPI Number for Brian L Clark is 1619162542 and holds a License No. 717 (AR). The current practice location address for Brian L Clark is 64 Danbury RD, Wilton, CT 06897-4429 and can be reached out via phone at 800-278-0332.

Provider Profile Details

NPI Number
1619162542
Provider Name
Brian L Clark
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
64 Danbury RD, Wilton, CT 06897-4429
Phone Number
800-278-0332
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
September 13, 2007
Last Update Date
January 16, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
64 Danbury RD
Wilton, CT 06897-4429
City
Wilton
Zip
06897-4429
Phone Number
800-278-0332
Wilton, CT 06897Get directions →

Provider Business Mailing Address Details

Address
1406-77 Carlton St
Toronto, ON M5B2J7
City
Toronto
State
ON
Zip
M5B2J7
Phone Number
647-342-7123

License Information

License Number (1)
717
License State (1)
AR
Taxonomy (1)
Physical Therapist · 225100000X
License Number (2)
1174211
License State (2)
TX
Taxonomy (2)
Physical Therapist · 225100000X · Primary
License Number (3)
028934-1
License State (3)
NY
Taxonomy (3)
Physical Therapist · 225100000X

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 Brian L Clark, PT?

The NPI number of Brian L Clark, PT is 1619162542. It was assigned on September 13, 2007 and is currently active in the NPPES registry.

What is the specialty of Brian L Clark, PT?

Brian L Clark, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in AR under license number 717.

Where does Brian L Clark, PT practice?

The practice location is 64 Danbury RD, Wilton, CT 06897-4429. The office can be reached at 800-278-0332 (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 1619162542 directly on the NPPES registry website.

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