STACY CLARK (NPI# 1134375314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134375314 |
| Entity Type | Individual |
| Full Name | STACY CLARK |
| Practice Address |
11623 Arbor St Omaha NE 68144-2981 |
| Mailing Address |
635 Alpine Dr Grove OK 74344-2602 |
| Practice Telephone | 8003341919 |
| Practice Fax Number | 4023346844 |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2008-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 2910 | OK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861628380 | Stacy Clark | Counselor | 2156 Seastone Trce, Chesapeake, VA 23321-3777 | 2009-06-10 |
| 1912016494 | Stacy Ann Clark | Optometrist | 1601 E Iron Ave, Salina, KS 67401-3237 | 2006-08-29 |
| 1801841606 | Stacy Suzanne Clark | Chiropractor | 6 Ebco Circle, Waynesboro, VA 22980 | 2006-05-23 |
| 1669012647 | Stacy Ann Clark | Counselor | 460 Briarwood Dr Ste 510, Jackson, MS 39206-3057 | 2020-01-08 |
| 1881047124 | Stacy Clark | Marriage & Family Therapist | 24451 Health Center Dr, Laguna Hills, CA 92653-3689 | 2016-07-21 |
| 1295199941 | Stacy Ann Clark | Nurse Practitioner | 3245 Mount Moriah Ave, Suite 10, Owensboro, KY 42303-7834 | 2016-04-08 |
| 1689950479 | Stacy Clark | Pharmacist | 52482 State Road 933, South Bend, IN 46637-3852 | 2011-10-25 |
| 1053625764 | Stacy Clark | Psychologist | 25 E Washington St, 1719, Chicago, IL 60602-1708 | 2010-08-05 |
| 1114259637 | Stacy L Clark | Massage Therapist | 6290 W Sample Rd, Coral Springs, FL 33067-3101 | 2010-02-09 |
| 1619145497 | Stacy Clark | Counselor | 367 Pine St, Springfield, MA 01105-1930 | 2008-02-14 |
| Street Address |
11623 ARBOR ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68144-2981 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215985601 | Dermatology Surgery Center, PC | Clinic/Center | 11623 Arbor St, Suite 102, Omaha, NE 68144-2981 | 2006-05-05 |
| 1346873684 | Fanny Jacinda Damus | Occupational Therapy Assistant | 11623 Arbor St, Omaha, NE 68144-2981 | 2020-02-14 |
| 1730650052 | Christine Celis | Specialist/Technologist | 11623 Arbor St, Omaha, NE 68144-2981 | 2018-12-14 |
| 1417491465 | Michelle M Lawson | Speech-Language Pathologist | 11623 Arbor St, Omaha, NE 68144-2981 | 2016-12-09 |
| 1417400169 | Tara Mayer | Occupational Therapist | 11623 Arbor St, Omaha, NE 68144-2981 | 2016-07-29 |
| 1770952079 | Laura Megan Syme | Speech-Language Pathologist | 11623 Arbor St, Cariant Health Partners, Omaha, NE 68144 | 2015-09-17 |
| 1427441237 | Kelsey Anne Paul | Speech-Language Pathologist | 11623 Arbor St, Omaha, NE 68144-2981 | 2015-03-18 |
| 1457752099 | Robin Whalen | Occupational Therapist | 11623 Arbor St, Omaha, NE 68144-2981 | 2014-09-15 |
| 1912306549 | Kayla Kimpson | Skilled Nursing Facility | 11623 Arbor St, Omaha, NE 68144-2981 | 2014-08-20 |
| 1104231539 | Kathryn Dimmitt | Physical Therapist | 11623 Arbor St, Omaha, NE 68144-2981 | 2014-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720627292 | Jessica Wissink | Physical Therapist | 2275 South 132nd St, Omaha, NE 68144 | 2020-01-02 |
| 1881165397 | Elle Klink | Chiropractor | 2527 S 140th Street, Omaha, NE 68144 | 2018-12-10 |
| 1336649987 | Colton A Palmer | Nurse Practitioner | 11725 Arbor St Ste 230, Omaha, NE 68144 | 2018-02-20 |
| 1780121335 | Deborah Palmer | Massage Therapist | 2429 South 120th, Omaha, NE 68144 | 2017-01-20 |
| 1750833851 | Amanda Mcgary Tatro | Counselor | 11929 Elm St Suite 12a, Omaha, NE 68144 | 2016-10-25 |
| 1770946105 | Kindis Ward | Counselor | 13435 A. Street, Omaha, NE 68144 | 2016-04-02 |
| 1649679937 | Brian Douglas Smith | Physical Therapist | 13934 Gold Circle, Omaha, NE 68144 | 2014-08-22 |
| 1346587334 | Elite Professionals Home Care LLC | Home Health | 13306 A Street, Omaha, NE 68144 | 2013-01-10 |
| 1821345471 | Angelia D Henderson | Skilled Nursing Facility | 2525 S. 135th Ave, Omaha, NE 68144 | 2012-08-13 |
| 1073872123 | Midwest Physical Therapy Services, PC | Physical Therapist | 11640 Arbor Street #200, Omaha, NE 68144 | 2012-05-10 |
| Find all providers in zip 68144 | ||||
| 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 |
|---|---|---|---|---|
| 1811515257 | Brooke Meska | Physical Therapist | 4951 Center St Ste Ll, Omaha, NE 68106-3252 | 2020-07-13 |
| 1952929440 | Heartland Mobile Therapy, LLC | Physical Therapist | 15725 Madison Cir, Omaha, NE 68135-2337 | 2020-07-10 |
| 1487271235 | Mckenzie Vermeire | Physical Therapist | 3516 N 163rd Plz Ste 3, Omaha, NE 68116-2112 | 2020-06-28 |
| 1558996967 | Choice Rehabilitation LLC | Physical Therapist | 1044 N 115th St Ste 500, Omaha, NE 68154-4410 | 2020-03-05 |
| 1083246250 | Molly A Mcdonald | Physical Therapist | 17819 Pierce Plz, Omaha, NE 68130-1035 | 2020-02-06 |
| 1720627292 | Jessica Wissink | Physical Therapist | 2275 South 132nd St, Omaha, NE 68144 | 2020-01-02 |
| 1760020127 | Maggie Chamberlain | Physical Therapist | 2412 Cuming St # 102, Omaha, NE 68131-1601 | 2019-12-17 |
| 1578115192 | Katie Jo Shalon | Physical Therapist | 1302 S 51st Ave, Omaha, NE 68106-2426 | 2019-07-13 |
| 1669035150 | Gerard Thomas IIi | Physical Therapist | Triage LLC, 12020 Pacific Street, Omaha, NE 68154 | 2019-04-19 |
| 1588132799 | Samantha Jane Herbster | Physical Therapist | 10824 Old Mill Rd Ste 10-6, Omaha, NE 68154-2642 | 2018-11-06 |
| Find all providers in OMAHA | ||||
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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.