MS. ANDREA NOEL CLARK (NPI# 1184899056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184899056 |
| Entity Type | Individual |
| Full Name | MS. ANDREA NOEL CLARK |
| Credential | M.S., PT |
| Practice Address |
1100 Commerce Dr Suite 114 Racine WI 53406-3700 |
| Practice Telephone | 2628863431 |
| Practice Fax Number | 2628863954 |
| Mailing Telephone | 2628863431 |
| Mailing Fax Number | 2628863954 |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-04-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 10613-024 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982182309 | Andrea K Clark | Occupational Therapist | 920 Goldenrod Ln, Hickman, NE 68372-9509 | 2018-07-30 |
| 1407238660 | Andrea Clark | Contractor | 2300 Seaman St, Apt. 101, Toledo, OH 43605-1952 | 2015-06-24 |
| 1114359049 | Andrea Clark | Physical Therapist | 531 Madison St, Albany, CA 94706-1116 | 2013-08-02 |
| 1003124223 | Andrea Nicole Clark | Licensed Practical Nurse | 9869 State Route 141, Kitts Hill, OH 45645-8649 | 2010-09-22 |
| 1295057362 | Andrea Serina Clark | Speech-Language Pathologist | 7497 Oak Tree Ln, Spring Hill, FL 34607-2324 | 2010-02-17 |
| 1336369602 | Andrea Walser Clark | Counselor | 157 Walser Way, Advance, NC 27006-7341 | 2007-04-27 |
| 1912034596 | Andrea Rachele Clark | Psychologist | 1818 W Lindsey St Ste C120, Norman, OK 73069-4169 | 2007-02-28 |
| 1477593580 | Andrea Clark | Counselor | 120 W 57th St, 8th Floor, New York, NY 10019-3320 | 2006-06-07 |
| 1558999672 | Andrea Clark | Registered Nurse | 1155 Dairy Ashford Rd Ste 560, Houston, TX 77079-3035 | 2020-04-01 |
| 1306359948 | Andrea Clark | Counselor | 10 Southard St, Trenton, NJ 08609-1020 | 2017-11-06 |
| Street Address |
1100 COMMERCE DR SUITE 114 |
| City | RACINE |
| State | WI |
| Zip Code | 53406-3700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114143781 | Medical Support Services Inc | Clinic/Center | 1100 Commerce Dr, Suite 114, Racine, WI 53406-3700 | 2007-04-18 |
| 1235440389 | Yalanda Hofmaier | Speech-Language Pathologist | 1100 Commerce Dr, Suite 114, Racine, WI 53406-3700 | 2010-06-23 |
| 1902034739 | Kelly A. Vant | Speech-Language Pathologist | 1100 Commerce Dr, Suite 114, Racine, WI 53406-3700 | 2009-07-01 |
| 1437324290 | Kathryn Sue Hansen | Occupational Therapist | 1100 Commerce Dr, Suite 114, Racine, WI 53406-3700 | 2008-04-23 |
| 1285808147 | Alicia Coreen Mccarten | Specialist | 1100 Commerce Dr, Suite114, Racine, WI 53406-3700 | 2008-04-22 |
| 1235303199 | Elizabeth Morgan | Occupational Therapist | 1100 Commerce Dr, Racine, WI 53406-3700 | 2008-04-22 |
| 1457525487 | Kristine Marie Sova | Physical Therapist | 1100 Commerce Dr, Suite 114, Racine, WI 53406-3700 | 2008-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164349 | Lynn Huynh | Pharmacist | 5695 Washington Ave, Racine, WI 53406 | 2020-11-06 |
| 1659920049 | Carol Jean Cornejo | Technician | 6528 Heritage Avenue, Mt Pleasant, WI 53406 | 2019-09-09 |
| 1265913958 | Mary Goldbeck | Social Worker | 1775 Newman Rd, Mt Pleasant, WI 53406 | 2018-08-22 |
| 1669963344 | Kelly Nicole Nelson | Registered Nurse | 8800 Washington Ave Ste 200, Mount Pleasant, WI 53406 | 2018-05-29 |
| 1891212163 | Ilona Agata Pryomski | Nurse Practitioner | 9201 Washington Ave, Racine, WI 53406 | 2017-08-27 |
| 1386185106 | Margaret M. Abaogye Dds | Dentist | 4340 Newman Rd., Racine, WI 53406 | 2017-03-13 |
| 1508309212 | Rebecca Koeppen | Dietitian, Registered | 8400 Washington Ave., Racine, WI 53406 | 2016-11-29 |
| 1386194371 | Forefront Dermatology, S.c. | Dermatology | 7200 Washington Ave, Suite 100, Mount Pleasant, WI 53406 | 2016-10-13 |
| 1356891402 | Forefront Dermatology, S.c. | Dermatology | 1515 S Green Bay Rd, Racine, WI 53406 | 2016-10-12 |
| 1861841470 | Leah Marie Johnson | Dentist | 1101 South Airline Road, Racine, WI 53406 | 2016-06-06 |
| Find all providers in zip 53406 | ||||
| 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 |
|---|---|---|---|---|
| 1275057507 | Samantha Blahnik | Physical Therapist | 73892 325th St., Racine, MN 55967 | 2017-07-28 |
| 1033548128 | Jacqueline Lamberton | Physical Therapist | 6 Shorewood Ct, Racine, WI 53402-2620 | 2013-11-08 |
| 1811222938 | David N Van De Water | Physical Therapist | 7300 Washington Ave Ste C, Racine, WI 53406-6525 | 2009-10-07 |
| 1881899169 | Brando Q Salvatierra | Physical Therapist | 1700 Ca Drive, Racine, WI 53406 | 2007-06-18 |
| 1578614863 | Motion Physical Therapy, LLC | Physical Therapist | 1600 Ohio St, Racine, WI 53405-3123 | 2007-01-15 |
| 1336208875 | Asha Abraham | Physical Therapist | 1518 Spring Valley Dr, Racine, WI 53405 | 2006-12-08 |
| 1831257369 | Thomas Van Dewater | Physical Therapist | 7300 Washington Ave, Suite C, Racine, WI 53406-3821 | 2006-12-05 |
| 1811085210 | John T Dembowiak | Physical Therapist | 5820 Washington Ave, Racine, WI 53406-4020 | 2006-10-11 |
| 1861597262 | Balistreri & Associates Physical Therapy | Physical Therapist | 1135 Prarie Drive, Racine, WI 53406 | 2006-09-13 |
| 1740392604 | Michelle Jean Voskuil | Physical Therapist | 5340 Washington Ave, Racine, WI 53406-4229 | 2006-08-31 |
| Find all providers in RACINE | ||||
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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.