JOSEPH BRADY CLARK (NPI# 1164021093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164021093 |
| Entity Type | Individual |
| Full Name | JOSEPH BRADY CLARK |
| Credential | PTA |
| Practice Address |
1030 Scott Dr Prescott AZ 86301-4737 |
| Mailing Address |
554 Campbell St Prescott AZ 86301-2521 |
| Practice Telephone | 9287782450 |
| Mailing Telephone | 9288308572 |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | PTA-012200 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417319161 | Joseph Martin Clark | Radiology | 16 E High St, Lebanon, PA 17042-5454 | 2016-03-22 |
| 1285936005 | Joseph R Clark | Dentist | 42 Georgia Ave, Commerce, GA 30529-2320 | 2010-11-30 |
| 1467776484 | Joseph Lefiever Clark Iv | Nurse Practitioner | 618 Oak St, Graham, TX 76450-3040 | 2010-03-19 |
| 1437354842 | Joseph Patterson Clark | Audiologist | 510 Fleming St Ste D, Hendersonville, NC 28739-4250 | 2007-06-15 |
| 1821217738 | Joseph Allen Clark | Massage Therapist | 3270 Fir Ridge Rd, Lake Oswego, OR 97035-2643 | 2007-04-25 |
| 1194795856 | Joseph D Clark | Psychiatry & Neurology | 81 Hillcrest Dr Ste 1300, Punxsutawney, PA 15767-2605 | 2006-01-25 |
| 1053308288 | Joseph M Clark | Otolaryngology | 1248 Huffman Mill Rd, Ste 201, Burlington, NC 27215-8700 | 2005-10-03 |
| 1740814656 | Joseph D Clark | Case Manager/Care Coordinator | 3100 E 45th St Ste 408, Cleveland, OH 44127-1095 | 2020-02-29 |
| 1235626110 | Joseph Louis Clark II | Physical Medicine & Rehabilitation | 11565 Harts Rd, Jacksonville, FL 32218-3777 | 2018-04-17 |
| 1669984407 | Joseph Raymond Clark | Nurse Anesthetist, Certified Registered | 6606 Lbj Fwy Ste 200, Dallas, TX 75240 | 2017-11-02 |
| Street Address |
1030 SCOTT DR |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86301-4737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851381578 | The Evangelical Lutheran Good Samaritan Society | Durable Medical Equipment & Medical Supplies | 1030 Scott Dr, Prescott, AZ 86301-1793 | 2005-10-25 |
| 1558969162 | Taylor Nicole Howell | Occupational Therapy Assistant | 1030 Scott Dr, Prescott, AZ 86301-4737 | 2020-10-15 |
| 1376159616 | Jessica Lee Clark | Physical Therapist | 1030 Scott Dr, Prescott, AZ 86301-4737 | 2020-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102350 | Dove Marie Gundermann | Specialist/Technologist | 300 W. Gurley St, Prescott, AZ 86301 | 2020-07-30 |
| 1639712110 | Arizona Orthopedic Physical Therapy, Pllc | Clinic/Center | 1781 E State Highway 69, Suite 28, Prescott, AZ 86301 | 2019-10-28 |
| 1538714092 | Prescott Complete Care | Family Medicine | 1947 Commerce Center Circle, Suite A, Prescott, AZ 86301 | 2019-08-01 |
| 1336612571 | Sarah Elizabeth Elliott | Registered Nurse | 500 Az 89, Prescott, AZ 86301 | 2019-01-10 |
| 1912484270 | Asya Ruth Perkins | Counselor | 225 Grove Avenue, Prescott, AZ 86301 | 2018-07-19 |
| 1396241394 | Jerome Alexander Longoria | Chiropractor | 142 N. Rush St, Prescott, AZ 86301 | 2018-03-30 |
| 1619487675 | Yavapai Healthcare Group LLC | Nurse Practitioner | 999 Division Street, Prescott, AZ 86301 | 2017-10-04 |
| 1053835843 | United States Veterans Initiative | Counselor | 917 E Gurley St, Prescott, AZ 86301 | 2017-08-02 |
| 1164896999 | Spitler - Lilley, LLC | Hearing Instrument Specialist | 1781 E. State Rte 69, Suite 65, Prescott, AZ 86301 | 2015-11-17 |
| 1275925265 | Oral and Facial Surgery Center of Prescott | Dentist | 5415 Distiction Way, Prescott, AZ 86301 | 2015-02-27 |
| Find all providers in zip 86301 | ||||
| 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 |
|---|---|---|---|---|
| 1396352290 | Dawn Cherie Bybee | Physical Therapy Assistant | 500 N Us Highway 89 Rm 111, Prescott, AZ 86313-5001 | 2020-09-25 |
| 1144641770 | Tina Harvey | Physical Therapy Assistant | 1601 Highway 24 E, Prescott, AR 71857-7901 | 2013-12-27 |
| 1841595519 | Barbara J. Hutchinson | Physical Therapy Assistant | 1505 Orrin Rd, Prescott, WI 54021-1074 | 2011-01-11 |
| 1720395023 | Derek Vanderroest | Physical Therapy Assistant | 3117 Stillwater Dr, Prescott, AZ 86305-7164 | 2010-09-08 |
| 1093892820 | Stephanie Gee Thompson | Physical Therapy Assistant | 500 N Us Highway 89, Prescott, AZ 86313-5001 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689272296 | Kevin Mccrane | Physical Therapy Assistant | 850 S Highway 80, Benson, AZ 85602-7034 | 2020-10-15 |
| 1679170948 | Eric Pinedo | Physical Therapy Assistant | 1712 W Glendale Ave, Phoenix, AZ 85021-8816 | 2020-10-08 |
| 1689286627 | Zarrina Denise Hunt | Physical Therapy Assistant | 14380 S Via Del Moro, Sahuarita, AZ 85629-8451 | 2020-08-20 |
| 1881202299 | Total Pediatric Therapy Inc | Physical Therapy Assistant | 4730 E Lone Mountain Rd Ste 116, Cave Creek, AZ 85331-5539 | 2020-07-21 |
| 1174131098 | Kelly Leann Brennan | Physical Therapy Assistant | 8679 E San Alberto, Scottsdale, AZ 85258-4368 | 2020-07-16 |
| 1306467527 | Matthew Noble | Physical Therapy Assistant | 1951 N Wilmot Rd # 3c, Tucson, AZ 85712-8000 | 2020-04-28 |
| 1497388375 | Joshua Taylor Ryan | Physical Therapy Assistant | 21321 E Ocotillo Rd Ste 122, Queen Creek, AZ 85142-5994 | 2020-02-19 |
| 1073158903 | Jonathan Corey Barber | Physical Therapy Assistant | 22424 South Ellsworth Loop Road, #464, Queen Creek, AZ 85142 | 2019-11-14 |
| 1669022778 | Leonel Ortiz | Physical Therapy Assistant | 304 N Los Robles Dr, Goodyear, AZ 85338-1425 | 2019-09-19 |
| 1952959942 | Nicole Garcia | Physical Therapy Assistant | 19818 Mc 85, Buckeye, AZ 85326 | 2019-09-03 |
| Find all providers with the same taxonomy | ||||
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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.