CLARK BEARSMITH (NPI# 1033686316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033686316 |
| Entity Type | Individual |
| Full Name | CLARK BEARSMITH |
| Credential | DPT |
| Practice Address |
7849 Tramway Blvd Ne Albuquerque NM 87122-2515 |
| Mailing Address |
1206 Hermosa Dr Se Albuquerque NM 87108-4317 |
| Practice Telephone | 5058213831 |
| Mailing Telephone | 5052317363 |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2018-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT5321 | NM | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
7849 TRAMWAY BLVD NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87122-2515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700426988 | Sophia Khalil | Student in an Organized Health Care Education/Training Program | 11128 Jordan Avenue Northeast, Albuquerque, NM 87122 | 2020-01-15 |
| 1457716664 | Raymond Martinez | Pharmacist | 7847 Tramway Ne, Albuquerque, NM 87122 | 2015-12-15 |
| 1891181913 | Paul Wright | Occupational Therapist | 30 Canocito Drive Ne, Albuquerque, NM 87122 | 2015-04-15 |
| 1356736615 | Tracy Pfeifer | Day Training/Habilitation Specialist | 8920 Holly Avenue Ne, Suite 102b, Albuquerque, NM 87122 | 2015-04-03 |
| 1346595071 | Jonathan Harper Kelley | Dentist | 9015 Paseo Del Norte Ne Ste A, Albuquerque, NM 87122 | 2012-07-18 |
| 1639444946 | Charlsey Leigh Mcdonald | Physical Therapist | 7920 Carmel Ave. Ne, Suite 2, Albuquerque, NM 87122 | 2012-03-20 |
| 1235462250 | Pamela Kay Limke | Pharmacist | 12112 Summer Wind Pl Ne, Albuquerque, NM 87122 | 2009-09-09 |
| 1437395332 | High Desert Pedicatrics PC | Pediatrics | 8650 Almeda Boulevard, Ne, Unit 101 E, Albuquerque, NM 87122 | 2008-12-23 |
| 1952427510 | Thomas Harry Heflin | Dentist | 8000 Carmel Ave, Albuquerque, NM 87122 | 2007-03-22 |
| 1497885032 | Thomas H Heflin Dds Pa | Dentist | 8000 Carmel Avenue Ne, Albuquerque, NM 87122 | 2007-03-06 |
| Find all providers in zip 87122 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407376460 | Marisa Raquel Esquivel | Physical Therapist | 9201 Montgomery Blvd Ne Ste 302, Albuquerque, NM 87111-2467 | 2017-06-21 |
| 1730511130 | Krista Leigh Riebli | Physical Therapist | 6700 Jefferson St Ne Bldg E, Albuquerque, NM 87109-4393 | 2013-08-07 |
| 1154426971 | Linda Marie Mcclanahan | Physical Therapist | 9201 Montgomery Blvd Ne, Suite 302, Albuquerque, NM 87111-2468 | 2006-09-14 |
| 1922055185 | Leanne M Adell | Physical Therapist | 600 Central Ave Se, Suite D, Albuquerque, NM 87102-3656 | 2006-05-30 |
| 1144797432 | Scoliosis Abq LLC | Physical Therapist | 6739 Academy Rd Ne, Albuquerque, NM 87109-3351 | 2018-10-25 |
| 1376010660 | Susan Halbig | Physical Therapist | 6739 Academy Rd Ne, Albuquerque, NM 87109-3351 | 2018-10-25 |
| 1326597980 | Brigit Barre | Physical Therapist | 4400 Lead Ave Se, Albuquerque, NM 87108-2844 | 2016-09-23 |
| 1831542406 | Julianne Keith | Physical Therapist | 6330 Riverside Plaza Ln Nw, Suite 150, Albuquerque, NM 87120-2681 | 2016-07-19 |
| 1942690789 | Diane Datz | Physical Therapist | 6330 Riverside Plaza Ln Nw, 303, Albuquerque, NM 87120-2681 | 2015-02-02 |
| 1598154379 | Bryan Woods | Physical Therapist | 5123 Juan Tabo Blvd Ne, Albuquerque, NM 87111-2672 | 2015-01-15 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87122 |
Please comment or provide details below to improve the information on CLARK BEARSMITH.
| 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.