SUSAN L CLARK (NPI# 1023313640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023313640 |
| Entity Type | Individual |
| Full Name | SUSAN L CLARK |
| Credential | ASSOCIATES DEGREE |
| Practice Address |
3019 Coit Ave Ne Grand Rapids MI 49505-3376 |
| Practice Telephone | 6163657761 |
| Mailing Telephone | 6163657761 |
| Enumeration Date | 2011-01-12 |
| Last Update Date | 2011-01-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 5502000487 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161950 | Susan Marie Clark | Nurse Practitioner | 674 Coral Way, Winter Springs, FL 32708-3127 | 2020-07-09 |
| 1528591575 | Susan Clark | Counselor | 604 S Walnut, Stillwater, OK 74074-4222 | 2017-04-06 |
| 1790178556 | Susan March Clark | Peer Specialist | 3277 E 2nd St, Tulsa, OK 74104-2134 | 2015-03-17 |
| 1841537990 | Susan Noble Clark | Developmental Therapist | 1730 Radcliffe Rd, Montgomery, AL 36106-2620 | 2013-01-09 |
| 1881963411 | Susan Clark | Occupational Therapy Assistant | 38 Wheeler Ave, Warwick, NY 10990-1341 | 2011-12-28 |
| 1437302684 | Susan Maslin Clark | Chiropractor | 20416 Bowfonds St, Ashburn, VA 20147-7457 | 2008-11-01 |
| 1871780940 | Susan Marie Clark | Counselor | 112 S Water St Ste B, Kent, OH 44240-3689 | 2007-10-02 |
| 1750403861 | Susan M Clark | Psychologist | 1022 Cherokee Ave, Royal Oak, MI 48067 | 2007-04-06 |
| 1598892085 | Susan L Clark | Psychiatry & Neurology | 9515 60th Ave W, Mukilteo, WA 98275 | 2007-02-28 |
| 1609968692 | Susan M Clark | Pediatrics | 1318 S Main Road, Vineland, NJ 08360 | 2006-09-28 |
| Street Address |
3019 COIT AVE NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49505-3376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700830684 | Erik Kooyer | Internal Medicine | 3019 Coit Ave Ne, Grand Rapids, MI 49505-3376 | 2006-05-22 |
| 1508262304 | Scott Michael Kass | Optometrist | 3019 Coit Ave Ne, Grand Rapids, MI 49505-3376 | 2014-11-06 |
| 1821419045 | Sarah Mallis | Psychologist | 3019 Coit Ave Ne, Grand Rapids, MI 49505-3376 | 2013-12-16 |
| 1033467212 | Nicholas James Liimatta | Audiologist | 3019 Coit Ave Ne, Grand Rapids, MI 49505-3376 | 2012-08-21 |
| 1952658767 | Amy Beth Vanderlugt | Dental Hygienist | 3019 Coit Ave Ne, Grand Rapids, MI 49505-3376 | 2012-08-10 |
| 1235434952 | Amy Marie Easey | Physical Therapy Assistant | 3019 Coit Ave Ne, Grand Rapids, MI 49505-3376 | 2011-01-12 |
| 1649595158 | Janis Kay French | Pharmacist | 3019 Coit Ave Ne, Grand Rapids, MI 49505-3376 | 2010-03-29 |
| 1356665798 | Reynaldo Soto | Physical Therapy Assistant | 3019 Coit Ave Ne, Grand Rapids, MI 49505-3376 | 2010-03-14 |
| 1679802029 | Ryan J Brown | Optometrist | 3019 Coit Ave Ne, Grand Rapids, MI 49505-3376 | 2009-12-14 |
| 1639404080 | Jamie Lyberg | Pharmacist | 3019 Coit Ave Ne, Grand Rapids, MI 49505-3376 | 2009-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285276097 | Molly Beth Kerkstra | Home Health Aide | 1115 Ball Ave Nw, Grand Rapids, MI 49505 | 2019-10-14 |
| 1154849677 | Roshawn Nichol Whitley | Technician | 891 Maryland Ave, Grand Rapids, MI 49505 | 2017-09-05 |
| 1447778923 | Kelly Benzin-brinks | Social Worker | 1965 3 Mile Rd Ne, Grand Rapids, MI 49505 | 2017-09-05 |
| 1033560404 | Taylor Nolan Boyd | Speech-Language Pathologist | 400 Ann St Ne Ste 106a, Grand Rapids, MI 49505 | 2016-06-28 |
| 1023465002 | Calvin Athy | Counselor | 1101 Ballave Ne, Grand Rapids, MI 49505 | 2016-05-19 |
| 1821456682 | Kelly Van Huisen | Counselor | 1115 Ball Avenue Ne, Building B, Grand Rapids, MI 49505 | 2016-02-08 |
| 1780051102 | Mark Squeteri | Social Worker | 1345 Monroe Ave Nw Ste 234, Grand Rapids, MI 49505 | 2015-09-02 |
| 1346637337 | Shelby Fullington | Social Worker | 1011 Ball Ave Ne, Grand Rapids, MI 49505 | 2015-04-17 |
| 1457745325 | Lester Anderson II | Social Worker | 1115 Ball Ave, Grand Rapids, MI 49505 | 2015-03-27 |
| 1730570151 | Nicole Brown | Counselor | 1345 Monroe Ave Nw Ste 204, Grand Rapids, MI 49505 | 2015-02-06 |
| Find all providers in zip 49505 | ||||
| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208809 | Morgan Paige Ballmann | Physical Therapy Assistant | 4150 Kalamazoo Ave. Se, Grand Rapids, MI 49508 | 2020-09-08 |
| 1447814082 | Nikunjkumar Prakashbhai Patel | Physical Therapy Assistant | 3370 Plainfield Ave Ne, Grand Rapids, MI 49525-2721 | 2019-04-29 |
| 1881195774 | Dawn Marie Kregel | Physical Therapy Assistant | 2589 44th St Se, Grand Rapids, MI 49512-3877 | 2018-02-26 |
| 1154763431 | Anna M Bennett | Physical Therapy Assistant | 473 Bayberry Pointe Dr Nw Apt A, Grand Rapids, MI 49534-8000 | 2013-07-26 |
| 1750640801 | Kelly Marie Wood | Physical Therapy Assistant | 933 3 Mile Rd Nw Ste 110, Grand Rapids, MI 49544-1673 | 2012-05-10 |
| 1447557186 | Sarah B Trent | Physical Therapy Assistant | 4260 Nature Trail Dr Se Apt 2a, Grand Rapids, MI 49512-3848 | 2011-02-15 |
| 1023270295 | Kevin Jon Eickhoff | Physical Therapy Assistant | 1140 Monroe Ave Nw Ste 150, Grand Rapids, MI 49503-1055 | 2008-06-30 |
| 1386803070 | Jeffrey Zagaroli | Physical Therapy Assistant | 2600 Pineview Dr Ne, Grand Rapids, MI 49525-6706 | 2008-06-06 |
| 1356558324 | Judy Lynn Wallis | Physical Therapy Assistant | Marywood Health Center, 111 Lakeside Drive Ne, Grand Rapids, MI 49503 | 2007-05-17 |
| 1164533956 | Sheryl Ann Pylman | Physical Therapy Assistant | 2591 44th St Se, #101, Grand Rapids, MI 49512-9094 | 2006-08-31 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49505 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.