Active NPIIndividual provider

Mrs. Cathleen M Clark, MPT

Physical Therapist, Pediatrics in Southington, Connecticut

NPI Number1659335859
Practice location
209 Partridge Dr, Southington, CT 06489-4056
Fax
860-621-1076
Last updated
December 17, 2013

Cathleen Marie Clark is a Physical Therapist, Pediatrics based in Southington, CT. Cathleen Marie Clark practices in Southington, CT and has the professional credentials of MPT. The NPI Number for Cathleen Marie Clark is 1659335859 and holds a License No. 004454 (CT). The current practice location address for Cathleen Marie Clark is 209 Partridge Dr, Southington, CT 06489-4056 and can be reached out via phone at 860-329-2777 and via fax at 860-621-1076.

Provider Profile Details

NPI Number
1659335859
Provider Name
Cathleen Marie Clark
Credential
MPT
Provider Entity Type
Individual
Gender
Female
Address
209 Partridge Dr, Southington, CT 06489-4056
Phone Number
860-329-2777
Fax Number
860-621-1076
Primary Taxonomy
Physical Therapist, Pediatrics · 2251P0200X
Sole Proprietor
No
Provider Enumeration Date
April 14, 2006
Last Update Date
December 17, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
209 Partridge Dr
Southington, CT 06489-4056
Zip
06489-4056
Phone Number
860-329-2777
Fax Number
860-621-1076
Southington, CT 06489Get directions →

Provider Business Mailing Address Details

Address
209 Partridge Dr
Southington, CT 06489-4056
City
Southington
State
CT
Zip
06489-4056
Phone Number
860-329-2777
Fax Number
860-621-1076

License Information

License Number
004454
License State
CT
Taxonomy
Physical Therapist, Pediatrics · 2251P0200X · 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 Mrs. Cathleen M Clark, MPT?

The NPI number of Mrs. Cathleen M Clark, MPT is 1659335859. It was assigned on April 14, 2006 and is currently active in the NPPES registry.

What is the specialty of Mrs. Cathleen M Clark, MPT?

Mrs. Cathleen M Clark, MPT is registered under the primary taxonomy Physical Therapist, Pediatrics (code 2251P0200X), licensed in CT under license number 004454.

Where does Mrs. Cathleen M Clark, MPT practice?

The practice location is 209 Partridge Dr, Southington, CT 06489-4056. The office can be reached at 860-329-2777 (phone) or 860-621-1076 (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 1659335859 directly on the NPPES registry website.

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