Active NPIIndividual providerSole proprietor

Kaycie Clark, PTA

Physical Therapy Assistant in Concord, New Hampshire

NPI Number1770152613
Practice location
91A N State St, Concord, NH 03301-4334
Fax
—
Last updated
June 24, 2021

Kaycie Clark is a Physical Therapy Assistant based in Concord, NH. Kaycie Clark practices in Concord, NH and has the professional credentials of PTA. The NPI Number for Kaycie Clark is 1770152613 and holds a License No. 1253 (NH). The current practice location address for Kaycie Clark is 91A N State St, Concord, NH 03301-4334 and can be reached out via phone at 603-724-2297.

Provider Profile Details

NPI Number
1770152613
Provider Name
Kaycie Clark
Credential
PTA
Provider Entity Type
Individual
Gender
Female
Address
91A N State St, Concord, NH 03301-4334
Phone Number
603-724-2297
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
Yes
Provider Enumeration Date
June 24, 2021
Last Update Date
June 24, 2021
Certification Date
June 24, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
91A N State St
Concord, NH 03301-4334
Zip
03301-4334
Phone Number
603-724-2297
Concord, NH 03301Get directions →

Provider Business Mailing Address Details

Address
47 Cadogan Way
Nashua, NH 03062-2255
City
Nashua
State
NH
Zip
03062-2255
Phone Number
207-841-2982

License Information

License Number
1253
License State
NH
Taxonomy
Physical Therapy Assistant · 225200000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Physical Therapy Assistants near Concord, NH

View all Physical Therapy Assistants in Concord →

Frequently Asked Questions

What is the NPI number of Kaycie Clark, PTA?

The NPI number of Kaycie Clark, PTA is 1770152613. It was assigned on June 24, 2021 and is currently active in the NPPES registry.

What is the specialty of Kaycie Clark, PTA?

Kaycie Clark, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NH under license number 1253.

Where does Kaycie Clark, PTA practice?

The practice location is 91A N State St, Concord, NH 03301-4334. The office can be reached at 603-724-2297 (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 1770152613 directly on the NPPES registry website.

Browse related providers