Active NPIIndividual provider

Tyler Clarke, PT, DPT

Physical Therapist in Sewell, New Jersey

NPI Number1629683644
Practice location
123 Egg Harbor RD Ste 350, Sewell, NJ 08080-9406
Fax
856-228-2105
Last updated
March 28, 2023

Tyler Clarke is a Physical Therapist based in Sewell, NJ. Tyler Clarke practices in Sewell, NJ and has the professional credentials of PT, DPT. The NPI Number for Tyler Clarke is 1629683644 and holds a License No. 40QA01954600 (NJ). The current practice location address for Tyler Clarke is 123 Egg Harbor RD Ste 350, Sewell, NJ 08080-9406 and can be reached out via phone at 564-813-5138 and via fax at 856-228-2105.

Provider Profile Details

NPI Number
1629683644
Provider Name
Tyler Clarke
Credential
PT, DPT
Provider Entity Type
Individual
Gender
Male
Address
123 Egg Harbor RD Ste 350, Sewell, NJ 08080-9406
Phone Number
564-813-5138
Fax Number
856-228-2105
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
September 15, 2020
Last Update Date
March 28, 2023
Certification Date
March 28, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
123 Egg Harbor RD Ste 350
Sewell, NJ 08080-9406
City
Sewell
Zip
08080-9406
Phone Number
564-813-5138
Fax Number
856-228-2105
Sewell, NJ 08080Get 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
40QA01954600
License State
NJ
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 Tyler Clarke, PT, DPT?

The NPI number of Tyler Clarke, PT, DPT is 1629683644. It was assigned on September 15, 2020 and is currently active in the NPPES registry.

What is the specialty of Tyler Clarke, PT, DPT?

Tyler Clarke, PT, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01954600.

Where does Tyler Clarke, PT, DPT practice?

The practice location is 123 Egg Harbor RD Ste 350, Sewell, NJ 08080-9406. The office can be reached at 564-813-5138 (phone) or 856-228-2105 (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 1629683644 directly on the NPPES registry website.

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