Active NPIIndividual provider

Justin Clark, PT, DPT

Physical Therapist in Moultonborough, New Hampshire

NPI Number1952020513
Practice location
1040 Whittier Highway, Unit 3, Moultonborough, NH 03254
Fax
603-255-3559
Last updated
August 25, 2022

Justin Clark is a Physical Therapist based in Moultonborough, NH. Justin Clark practices in Moultonborough, NH and has the professional credentials of PT, DPT. The NPI Number for Justin Clark is 1952020513 and holds a License No. 5052 (NH). The current practice location address for Justin Clark is 1040 Whittier Highway, Unit 3, Moultonborough, NH 03254 and can be reached out via phone at 603-273-1570 and via fax at 603-255-3559.

Provider Profile Details

NPI Number
1952020513
Provider Name
Justin Clark
Credential
PT, DPT
Provider Entity Type
Individual
Gender
Male
Address
1040 Whittier Highway, Unit 3, Moultonborough, NH 03254
Phone Number
603-273-1570
Fax Number
603-255-3559
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
August 25, 2022
Last Update Date
August 25, 2022
Certification Date
August 21, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
1040 Whittier Highway
Unit 3
Moultonborough, NH 03254
Zip
03254
Phone Number
603-273-1570
Fax Number
603-255-3559
Moultonborough, NH 03254Get directions →

Provider Business Mailing Address Details

Address
54 W Parish RD
Concord, NH 03303-4130
City
Concord
State
NH
Zip
03303-4130
Phone Number
603-660-9801

License Information

License Number
5052
License State
NH
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 Justin Clark, PT, DPT?

The NPI number of Justin Clark, PT, DPT is 1952020513. It was assigned on August 25, 2022 and is currently active in the NPPES registry.

What is the specialty of Justin Clark, PT, DPT?

Justin Clark, PT, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NH under license number 5052.

Where does Justin Clark, PT, DPT practice?

The practice location is 1040 Whittier Highway, Unit 3, Moultonborough, NH 03254. The office can be reached at 603-273-1570 (phone) or 603-255-3559 (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 1952020513 directly on the NPPES registry website.

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