MR. TIMOTHY ROSS CLARK (NPI# 1154665446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154665446 |
| Entity Type | Individual |
| Full Name | MR. TIMOTHY ROSS CLARK |
| Credential | PTA |
| Practice Address |
201 10th Ave N Twin Falls ID 83301-6372 |
| Practice Telephone | 2087344264 |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2012-11-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | PTA168 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518492008 | Timothy Jerum Clark | Nurse Practitioner | 246 Hart Ave, Staten Island, NY 10310-3022 | 2017-04-22 |
| 1083096341 | Timothy Clark | Student in an Organized Health Care Education/Training Program | 521 S 7th St, Apt 502, Minneapolis, MN 55415-1620 | 2015-06-23 |
| 1013233477 | Timothy Albert Clark | Massage Therapist | 2010 Bonnycastle Ave Apt 1f, Louisville, KY 40205-1118 | 2010-04-10 |
| 1265501829 | Timothy K Clark | Counselor | 6341 Kyllenon Hill Rd, Clinton, WA 98236-8633 | 2006-11-07 |
| 1194800946 | Timothy Paul Clark | Dentist | 12392 Pleasant Ave., Becker, MN 55308-0098 | 2006-10-26 |
| 1609966415 | Timothy Lew Clark | Social Worker | 880 Lee Street, Suite 208, Des Plaines, IL 60016 | 2006-10-13 |
| 1538263801 | Timothy Clark | Social Worker | 1170 Main St Rt 6a, West Barnstable, MA 02665 | 2006-09-08 |
| 1043265663 | Timothy M Clark | Internal Medicine | 4820 Riverbend Rd Ste 100, Boulder, CO 80301-2618 | 2006-05-23 |
| 1629027974 | Timothy Clark | Physician Assistant | 4201 Buffalo Road, North Chili, NY 14514 | 2006-05-06 |
| 1407814726 | Timothy A Clark | Internal Medicine | 2250 Millennium Way, Ste 400, Enola, PA 17025 | 2006-05-03 |
| Street Address |
201 10TH AVE N |
| City | TWIN FALLS |
| State | ID |
| Zip Code | 83301-6372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023645918 | Matthew Anderson | Pharmacist | Dick's Pharmacy, 526 K Shoup Ave W, Twin Falls, ID 83301 | 2020-03-23 |
| 1780146316 | Frontier Pediatric Partners, Pllc | Pediatrics | 1502 Locust Street N #700, Twin Falls, ID 83301 | 2019-04-02 |
| 1972073377 | Wood River Acupuncture | Acupuncturist | 1625 Addison Ave East, Twin Falls, ID 83301 | 2018-11-28 |
| 1235629874 | Lonnie Paul | Counselor | 1092 Eastland Dr N Ste A, Twin Falls, ID 83301 | 2018-05-17 |
| 1679060966 | Christina Jirapha Thongdee | Social Worker | 625 Poleline Road West, Suite 2a, Twin Falls, ID 83301 | 2018-04-23 |
| 1437658499 | Tyrel Kevin Ward | Chiropractor | 2167 Village Park Ave., Suite 100, Twin Falls, ID 83301 | 2018-02-06 |
| 1851836381 | Tanabell Health Services, Inc | Skilled Nursing Facility | 1134 Cheney Drive West, Twin Falls, ID 83301 | 2016-12-19 |
| 1578005195 | Matthew Carter | Physical Therapist | 1053 Eastland Drive, Twin Falls, ID 83301 | 2016-11-14 |
| 1790227783 | Murvat Usmanova | Nurse Practitioner | 775 Pole Line Road W, Suite 203, Twin Falls, ID 83301 | 2016-11-08 |
| 1265894687 | Shawna Fultz | Social Worker | 1201 Fall Ave East Suite C, Twin Falls, ID 83301 | 2016-03-24 |
| Find all providers in zip 83301 | ||||
| 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 |
|---|---|---|---|---|
| 1528665304 | Mara Danielle Bonawitz | Physical Therapy Assistant | 420 Pheasant Rd, Twin Falls, ID 83301-8728 | 2020-10-05 |
| 1922665553 | Kristina Kay Hill | Physical Therapy Assistant | 932 Starlight Loop, Twin Falls, ID 83301-5181 | 2019-05-20 |
| 1275082984 | Leanne Campeau | Physical Therapy Assistant | 1053 Eastland Dr, Twin Falls, ID 83301-6747 | 2016-09-23 |
| 1295143147 | Shane Grayson | Physical Therapy Assistant | 182 Falls Ave W, Twin Falls, ID 83301-3595 | 2014-07-23 |
| 1467010272 | Heidi Coillot | Physical Therapy Assistant | 276 Eastland Dr N, Twin Falls, ID 83301-4458 | 2019-06-05 |
| 1689919706 | Martin Okelberry | Physical Therapy Assistant | 674 Eastland Dr, Twin Falls, ID 83301-6846 | 2012-11-29 |
| 1891039293 | John Albert Williams | Physical Therapy Assistant | 640 Filer Ave W, Twin Falls, ID 83301-4533 | 2012-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265046684 | Jennifer Anderson | Physical Therapy Assistant | 5900 N Brook Pl, Garden City, ID 83714-1724 | 2020-09-02 |
| 1770106502 | Ellen Ferrenburg | Physical Therapy Assistant | 64 S Star Rd, Star, ID 83669-5497 | 2020-05-27 |
| 1811523145 | Kimberly Jean Larsen | Physical Therapy Assistant | 3251 N Summerbrook Pl, Meridian, ID 83646-5581 | 2020-03-18 |
| 1023656618 | Lisa Camille Dialogue | Physical Therapy Assistant | 6074 N Discovery Way Ste 110, Boise, ID 83713-0210 | 2019-12-15 |
| 1497306831 | Britany Jennifer Cunningham | Physical Therapy Assistant | 222 E Elm St, Caldwell, ID 83605-4815 | 2019-09-26 |
| 1275197667 | Jason Detwiler | Physical Therapy Assistant | 2411 S Essex Way, Boise, ID 83709-2304 | 2019-05-01 |
| 1073071692 | Eric R Cutlip | Physical Therapy Assistant | 104 W Ash St, Genesee, ID 83832-8709 | 2019-03-04 |
| 1720586209 | Bree Anne Mackenzie | Physical Therapy Assistant | 382 Partridge Ln, Rexburg, ID 83440-3593 | 2018-01-30 |
| 1972011443 | Medical Fitness Center LLC | Physical Therapy Assistant | 1396 E Iron Eagle Dr Ste 100, Eagle, ID 83616-6620 | 2018-01-17 |
| 1881100261 | Fitness Forward Physical Therapy Pllc | Physical Therapy Assistant | 1775 E 17th St Ste D, Idaho Falls, ID 83404-4902 | 2017-12-20 |
| Find all providers with the same taxonomy | ||||
| City | TWIN FALLS |
| Zip Code | 83301 |
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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.