SUSAN CLARK (NPI# 1144593336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144593336 |
| Entity Type | Individual |
| Full Name | SUSAN CLARK |
| Practice Address |
1250 S A W Grimes Blvd Round Rock TX 78664-7429 |
| Practice Telephone | 5123107665 |
| Enumeration Date | 2012-02-17 |
| Last Update Date | 2012-02-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 2068753 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 0944746-02 | 05 | |
| TX | BLUE CROSS BLUE SHIELD | 0031DG | 01 |
| 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 |
1250 S A W GRIMES BLVD |
| City | ROUND ROCK |
| State | TX |
| Zip Code | 78664-7429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770639494 | Christopher James Youso | Physical Therapist | 1250 S A W Grimes Blvd, Round Rock, TX 78664-7429 | 2007-01-26 |
| 1972035723 | Pamela Irwin | Behavioral Analyst | 1250 S A W Grimes Blvd, Round Rock, TX 78664-7429 | 2017-03-31 |
| 1548719628 | Empower Aba Therapy Center | Speech-Language Pathologist | 1250 S A W Grimes Blvd, Round Rock, TX 78664-7429 | 2016-09-29 |
| 1174993448 | Samantha Ross | Speech-Language Pathologist | 1250 S A W Grimes Blvd, Round Rock, TX 78664-7429 | 2015-09-30 |
| 1770951790 | Margaret Alexander | Occupational Therapist | 1250 S A W Grimes Blvd, Round Rock, TX 78664-7429 | 2015-09-08 |
| 1336520568 | Ashley Hopkins | Physical Therapist | 1250 S A W Grimes Blvd, Round Rock, TX 78664-7429 | 2015-06-12 |
| 1689074999 | Amy Carol Shackelford | Physical Therapist | 1250 S A W Grimes Blvd, Round Rock, TX 78664-7429 | 2014-08-25 |
| 1770929473 | Tamara Qualls | Speech-Language Pathologist | 1250 S A W Grimes Blvd, Round Rock, TX 78664-7429 | 2013-05-21 |
| 1063764819 | Angela Bernal | Physical Therapy Assistant | 1250 S A W Grimes Blvd, Round Rock, TX 78664-7429 | 2012-10-03 |
| 1841541075 | Itzel Garcia | Physical Therapist | 1250 S A W Grimes Blvd, Round Rock, TX 78664-7429 | 2012-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710526900 | Yan Wei Chan | Acupuncturist | 894 Summit St. Suite 109, Round Rock, TX 78664 | 2020-01-06 |
| 1285139030 | Coffee Rx LLC | Pharmacy | 106 S Mays St Ste 100, Round Rock, TX 78664 | 2018-03-26 |
| 1508369224 | Daniel Bernard Hall | Nurse Practitioner | 1700 East Palm Valley Blvd, Roundrock, TX 78664 | 2018-03-09 |
| 1407361561 | Double Creek Assisted Living Lp | Assisted Living Facility | 3200 Louis Henna Blvd., Round Rock, TX 78664 | 2017-12-11 |
| 1396254694 | Gezahgne T Bogale | Driver | 1908 Huxley Ln, Round Rock, TX 78664 | 2017-09-29 |
| 1942728563 | Kathryn Dufresne | Massage Therapist | 896 Summit Street Suite 104b, Round Rock, TX 78664 | 2017-09-04 |
| 1699213686 | I&r Health Services | Case Management | 2501 Louis Henna Blvd Apt 914, Round Rock, TX 78664 | 2017-02-09 |
| 1588018394 | The Heidi Group | Family Medicine | 894 Summit St Ste 108, Round Rock, TX 78664 | 2016-04-18 |
| 1902264963 | Round Rock Emergency Physicians | Clinic/Center | 1925 Aw Grimes Blvd, Round Rock, TX 78664 | 2016-02-05 |
| 1508230137 | Michael Fuentes | Community Health Worker | 117-b Louis Henna Blvd, Ste. 200, Round Rock, TX 78664 | 2015-11-19 |
| Find all providers in zip 78664 | ||||
| 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 |
|---|---|---|---|---|
| 1295378057 | Graciela Marie Cardenas | Physical Therapy Assistant | 808 Martin Ave, Round Rock, TX 78681-7319 | 2019-10-24 |
| 1043736531 | John Russel Clay | Physical Therapy Assistant | 2003 Heathwood Cir, Round Rock, TX 78664-2237 | 2017-08-17 |
| 1285175703 | Dovey Garton | Physical Therapy Assistant | 3503 Eagle Way, Round Rock, TX 78681-1773 | 2017-03-16 |
| 1740323757 | Julie Clarke | Physical Therapy Assistant | 1208 Q North Ih 35, Round Rock, TX 78681 | 2007-02-15 |
| 1700925609 | Nikki Hawken | Physical Therapy Assistant | 1208-q N.ih35, Suite Q, Round Rock, TX 78681 | 2007-02-06 |
| 1073125779 | Kailey Davis | Physical Therapy Assistant | 896 Summit St Ste 102, Round Rock, TX 78664-4370 | 2020-08-24 |
| 1811507692 | Alexander Perez | Physical Therapy Assistant | 2120 N Mays St Ste 100, Round Rock, TX 78664-2107 | 2020-08-05 |
| 1386119832 | Angela Sarette Forrest-brown | Physical Therapy Assistant | 300a University Blvd, Round Rock, TX 78665-1032 | 2018-10-11 |
| 1437630548 | Aleksandra Nikolovska | Physical Therapy Assistant | 1000 E Main St, Round Rock, TX 78664-4442 | 2018-08-27 |
| 1962983460 | Kelly Eileen Nugent | Physical Therapy Assistant | 17751 Park Valley Dr, Round Rock, TX 78681-3592 | 2018-08-23 |
| Find all providers in ROUND ROCK | ||||
| City | ROUND ROCK |
| Zip Code | 78664 |
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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.