MR. DEREK CLARK (NPI# 1083156061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083156061 |
| Entity Type | Individual |
| Full Name | MR. DEREK CLARK |
| Credential | DPT |
| Practice Address |
6349 Garners Ferry Rd Columbia SC 29209 |
| Mailing Address |
6349 Garners Ferry Rd Columbia SC 29209-0504 |
| Practice Telephone | 8037764000 |
| Mailing Telephone | 8037764000 |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2016-11-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 8402 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487070942 | Derek Clark | Specialist/Technologist | 625 Beaver St, Leetsdale, PA 15056-1200 | 2014-03-07 |
| 1497161590 | Derek Clark | Orthotist | 5111 Juan Tabo Blvd Ne, Ste A, Albuquerque, NM 87111 | 2014-07-09 |
| 1124452073 | Derek Clark | Pharmacist | 3100 N Glassford Hill Rd, Prescott Valley, AZ 86314-2285 | 2013-08-28 |
| 1518283589 | Derek William Clark | Psychiatry & Neurology | 500 17th Ave, Seattle, WA 98122-5711 | 2010-04-15 |
| 1902059843 | Derek Dwight Clark | Physical Therapist | 116 Market St, Mannington, WV 26582-1131 | 2008-10-23 |
| Street Address |
6349 GARNERS FERRY RD |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992293013 | Pertile Group LLC | Family Medicine | 26 Foot Point Rd, Columbia, SC 29209 | 2018-04-24 |
| 1922450345 | Heather Alexander | Social Worker | 6439 Garners-ferry Road, Suite 122, Wjb Dorn Va, Columbia, SC 29209 | 2016-07-09 |
| 1265888325 | Daphne Elaine Allen | Counselor | 1850 Pinview Dr, Columbia, SC 29209 | 2016-05-09 |
| 1659757649 | Marc Edmundson | Pharmacist | 500 Gills Creek Pkwy #810, Columbia, SC 29209 | 2015-08-03 |
| 1477949113 | Winter Years Home Health Care Agency, LLC | Home Health | 1101 1st Street, P, Columbia, SC 29209 | 2015-04-09 |
| 1285045773 | Alireza Adhami | Pharmacist | 7235 Garners Ferry Rd, Columbia, SC 29209 | 2014-05-19 |
| 1790039212 | Immediate Dental Group Columbia | Dentist | 1118 Greenlawn Drive, Columbia, SC 29209 | 2012-11-06 |
| 1275896284 | Tariq Horani | Internal Medicine | 6349 Garners Ferry Road, Int Med -, Columbia, SC 29209 | 2012-06-25 |
| 1902165467 | Medcare Urgent Care Center Garners Ferry, LLC | Clinic/Center | 7418 Garners Ferry Road, Columbia, SC 29209 | 2012-05-03 |
| 1134428923 | Tyrone G Roberson Sr. | Registered Nurse | 6439 Garners Ferry, Columbia, SC 29209 | 2011-03-20 |
| Find all providers in zip 29209 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) 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 |
|---|---|---|---|---|
| 1902406200 | Alyssa Leonard | Physical Therapist | 7490 S Lavender Dr, Columbia, MO 65203-4538 | 2020-10-27 |
| 1811596711 | Results-ast Jv, LLC | Physical Therapist | 627 James Campbell Blvd, South, Suite B, Columbia, TN 38501 | 2020-10-21 |
| 1689291544 | Diana Matthews | Physical Therapist | 6016 Jerrys Drive, Columbia, MD 21044 | 2020-06-26 |
| 1366069395 | Taalor Stevenson | Physical Therapist | 10 W Nifong Blvd, Columbia, MO 65203-6011 | 2020-06-25 |
| 1457977498 | Windy Matthews-ellinger | Physical Therapist | 1719 Heyward St, Columbia, SC 29205-3211 | 2020-06-24 |
| 1962026518 | Tiffany Nichole Harbison | Physical Therapist | 10 W Nifong Blvd Ste 121, Columbia, MO 65203-6006 | 2020-05-29 |
| 1558992404 | Progressive Physical Therapy, LLC | Physical Therapist | 6410 Dobbin Rd Ste G, Columbia, MD 21045-4774 | 2020-01-30 |
| 1467082552 | Linnen Pediatric Physical Therapy, LLC | Physical Therapist | 165 Rice Meadow Cir, Columbia, SC 29229-9378 | 2020-01-17 |
| 1710545777 | Amanda Lorraine Gubbels | Physical Therapist | 6041b Garners Ferry Rd, Columbia, SC 29209-1304 | 2019-06-04 |
| 1790243624 | Kara Juliann Lane | Physical Therapist | 7130 Minstrel Way Ste L110, Columbia, MD 21045-5201 | 2019-03-11 |
| Find all providers in COLUMBIA | ||||
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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.