MS. JESSICA CLARK (NPI# 1174940571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174940571 |
| Entity Type | Individual |
| Full Name | MS. JESSICA CLARK |
| Credential | L.A.T., A.T.C. |
| Practice Address |
1561 Medical Dr Pottstown PA 19464-3218 |
| Practice Telephone | 6107929292 |
| Practice Fax Number | 6107929293 |
| Mailing Telephone | 6107929292 |
| Mailing Fax Number | 6107929293 |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2014-03-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
RT004952 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528690906 | Jessica Clark | Doula | 343 N Main Ave, Gresham, OR 97030-7246 | 2020-02-04 |
| 1962054387 | Jessica Lynn Clark | Nurse Practitioner | 7219 N Litchfield Rd Bldg 11302nd, Luke Air Force Base, AZ 85309-1529 | 2019-07-16 |
| 1568962306 | Jessica Lee Clark | Registered Nurse | 6011 Cielo Rnch, San Antonio, TX 78218-4161 | 2018-02-19 |
| 1811416076 | Jessica Clark | Counselor | 42189 Shadow Creek Ave, Gonzales, LA 70737-7241 | 2017-09-19 |
| 1124572821 | Jessica Clark | Specialist | 5664 Cahuenga Blvd, North Hollywood, CA 91601-2103 | 2016-08-10 |
| 1104286871 | Jessica Clark | Counselor | 2575 Westgate Bldg 2, Pendleton, OR 97801-9613 | 2016-02-24 |
| 1942612296 | Jessica Clark | Case Management | 620 John Austin Ln, Mt Washington, KY 40047-6354 | 2014-05-21 |
| 1154610269 | Jessica Clark | Social Worker | 55 Floyd Ave, Riverside, RI 02915-2927 | 2011-03-30 |
| 1346558780 | Jessica Clark | Dietitian, Registered | 187-191 Main Street, Ste 300, Emmaus, PA 18049-4017 | 2010-09-20 |
| 1760794309 | Jessica Michelle Clark | Dentist | 1300 Kempsville Rd Ste 5, Virginia Beach, VA 23464-6199 | 2010-07-12 |
| Street Address |
1561 MEDICAL DR |
| City | POTTSTOWN |
| State | PA |
| Zip Code | 19464-3218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053349936 | Brandywine Institute of Orthopaedics, P.C. | Orthopaedic Surgery | 1561 Medical Dr, Pottstown, PA 19464-3218 | 2006-06-29 |
| 1629622196 | Mike Chou | Physical Therapist | 1561 Medical Dr, Pottstown, PA 19464-3218 | 2019-08-01 |
| 1265916076 | Anthony D Kreft | Physical Therapist | 1561 Medical Dr, Pottstown, PA 19464 | 2018-09-18 |
| 1710488226 | Jae Yong Lee | Physical Therapist | 1561 Medical Dr, Pottstown, PA 19464-3218 | 2018-02-21 |
| 1568979490 | Rebecca Wootten | Specialist/Technologist | 1561 Medical Dr, Pottstown, PA 19464-3218 | 2017-12-30 |
| 1184136269 | Lindsey L Seuren | Specialist/Technologist | 1561 Medical Dr, Pottstown, PA 19464-3218 | 2017-10-30 |
| 1417479221 | Olivia D Brown | Physical Therapist | 1561 Medical Dr, Pottstown, PA 19464-3218 | 2017-07-13 |
| 1346798188 | Sarah Kauffman | Nurse Practitioner | 1561 Medical Dr, Pottstown, PA 19464-3218 | 2016-09-21 |
| 1124443494 | Elizabeth Dinenna | Physical Therapist | 1561 Medical Dr, Pottstown, PA 19464-3218 | 2014-02-24 |
| 1467770727 | Scott Ritterman | Orthopaedic Surgery | 1561 Medical Dr, Pottstown, PA 19464-3218 | 2010-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770051971 | Jennifer Vernon | Counselor | 111 Robinson Street, Pottstown, PA 19464 | 2018-11-06 |
| 1609356732 | Wisna Serenity Homes Corp | Home Health | 444 North Mount Vernon Ave, Pottstown, PA 19464 | 2018-08-17 |
| 1164919007 | Katie A Lewis | Counselor | Creative Health Services Inc., 11 Robinson Street, Pottstown, PA 19464 | 2018-04-17 |
| 1326564998 | Dana Marie Skilton | Counselor | 11 Robinson Ave, Pottstown, PA 19464 | 2017-08-16 |
| 1629425954 | Edith Mary French | Registered Nurse | 1630 East High Street, Bldg #4, Pottstown, PA 19464 | 2016-05-17 |
| 1215314547 | Amy Lynne Campos | Counselor | 1200 E. High St. Suite 202, Pottstown, PA 19464 | 2015-05-06 |
| 1417346560 | Erica L Avello | Psychologist | 404 E High Street, Pottstown, PA 19464 | 2015-01-13 |
| 1336559145 | Beth Sue Desch | Dental Hygienist | 11 Robinson St. Suite 100, Pottstown, PA 19464 | 2014-05-01 |
| 1043638414 | Claudia Baumert | Dietitian, Registered | 555 E High Sreet, Pottstown, PA 19464 | 2014-04-02 |
| 1770922692 | Marie Elizabeth Bisconti | Optometrist | 264 Upland Square Dr, Pottstown, PA 19464 | 2013-06-25 |
| Find all providers in zip 19464 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700303674 | Justin Baker | Specialist/Technologist | 750 N Washington St, Pottstown, PA 19464-4748 | 2017-08-23 |
| 1609319110 | Nathan Flickinger | Specialist/Technologist | 434 N York St, Pottstown, PA 19464-5254 | 2016-12-01 |
| 1881141141 | Morgan Wambold | Specialist/Technologist | 1377 N Charlotte St, Pottstown, PA 19464-1919 | 2016-09-04 |
| 1710264163 | Jonathan Edward Dicandilo | Specialist/Technologist | 324 Highland Rd, Pottstown, PA 19464-4408 | 2011-11-14 |
| 1285924027 | Allison Jean Brooks | Specialist/Technologist | 2031 Pottstown Pike, Pottstown, PA 19465-8671 | 2011-04-13 |
| 1639209794 | Elicia Bennett | Specialist/Technologist | 1008 Fallbrook Ln, Pottstown, PA 19464-1745 | 2007-03-07 |
| 1932283306 | John Joseph Thomas | Specialist/Technologist | 1345 Kauffman Rd, Pottstown, PA 19464-2303 | 2006-10-24 |
| 1568979490 | Rebecca Wootten | Specialist/Technologist | 1561 Medical Dr, Pottstown, PA 19464-3218 | 2017-12-30 |
| 1184136269 | Lindsey L Seuren | Specialist/Technologist | 1561 Medical Dr, Pottstown, PA 19464-3218 | 2017-10-30 |
| 1801207162 | Christopher Joseph Mcguigan | Specialist/Technologist | 717 E High St, Pottstown, PA 19464-5770 | 2014-05-08 |
| Find all providers in POTTSTOWN | ||||
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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.