MS. MARY LYNN CLARK (NPI# 1225174295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225174295 |
| Entity Type | Individual |
| Full Name | MS. MARY LYNN CLARK |
| Credential | PT |
| Practice Address |
85 Barnes Rd Suite 109 Wallingford CT 06492-1832 |
| Mailing Address |
47 N Main St Suite 109 West Hartford CT 06107-1926 |
| Practice Telephone | 2036971067 |
| Practice Fax Number | 2032840492 |
| Mailing Telephone | 8604094595 |
| Mailing Fax Number | 8604094860 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2016-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 002882 | CT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255958252 | Mary Beth Clark | Speech-Language Pathologist | 18 La Salle Ave, Sioux City, IA 51104-2412 | 2020-06-25 |
| 1205461266 | Mary Clark | Nurse's Aide | 229 Elmhurst Rd, Dayton, OH 45417-1420 | 2020-03-10 |
| 1366981839 | Mary Clark | Acupuncturist | 8380 Six Forks Rd Ste 203, Raleigh, NC 27615-5091 | 2017-02-16 |
| 1740698935 | Mary Christine Clark | Lactation Consultant, Non-RN | 2774 230th St, Cushing, WI 54006-3421 | 2014-07-31 |
| 1982022562 | Mary Clark | Non-emergency Medical Transport (VAN) | 2957 Brogdon Rd, Alcolu, SC 29001-8637 | 2014-04-01 |
| 1760825392 | Mary Elizabeth Clark | Doula | 8634 Oakside Ave, Commerce Township, MI 48382-3763 | 2013-04-13 |
| 1336497460 | Mary Clark | Chiropractor | 298 Federal Hill Rd, Milford, NH 03055-3553 | 2012-08-21 |
| 1730460098 | Mary Jo Clark | Specialist | 2691 Highway 62 412, Highland, AR 72542-9479 | 2011-08-31 |
| 1649559410 | Mary Jackson Clark | Counselor | 904 Washington Rd Ste A, Westminster, MD 21157-5838 | 2011-08-11 |
| 1952691461 | Mary Denise Clark | Doula | 1070 Milo Cir Apt B, Lafayette, CO 80026-3089 | 2011-04-18 |
| Street Address |
85 BARNES RD SUITE 109 |
| City | WALLINGFORD |
| State | CT |
| Zip Code | 06492-1832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255373734 | Jason Stuart Kirk | Physical Therapist | 85 Barnes Rd, Suite 109, Wallingford, CT 06492-1832 | 2006-06-11 |
| 1659816627 | Docaxt, Inc | Orthopaedic Surgery | 85 Barnes Rd, Suite 301, Wallingford, CT 06492-1832 | 2016-12-30 |
| 1477939015 | Brian Sniffin | Physical Therapist | 85 Barnes Rd, Wallingford, CT 06492-1832 | 2015-08-05 |
| 1831578913 | Nutmeg Orthotics and Prosthetics LLC | Prosthetic/Orthotic Supplier | 85 Barnes Rd, Suite 302, Wallingford, CT 06492-1832 | 2015-05-22 |
| 1508299496 | Tirzah Grace Antoine | Physical Therapist | 85 Barnes Rd, Suite 109, Wallingford, CT 06492-1832 | 2013-08-14 |
| 1568737443 | Healthdrive Behavioral Health, LLC | Social Worker | 85 Barnes Rd, Suite 207, Wallingford, CT 06492-1832 | 2012-03-12 |
| 1497025746 | Calatayud Chiropractic Center, PC | Chiropractor | 85 Barnes Rd, Suite 101, Wallingford, CT 06492-1832 | 2012-01-04 |
| 1477843944 | Judith Ann Nist | Dental Hygienist | 85 Barnes Rd, Suite 207, Wallingford, CT 06492-1832 | 2011-04-18 |
| 1790081131 | Renee Scatton | Technician/Technologist | 85 Barnes Rd, Suite 207, Wallingford, CT 06492-1832 | 2011-02-02 |
| 1609170273 | Julie C Vanderkroef | Dental Hygienist | 85 Barnes Rd, Suite 207, Wallingford, CT 06492-1832 | 2010-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891310215 | The Promptcare Companies, Inc. | Durable Medical Equipment & Medical Supplies | 101 Noth Plains Industrial Park, Suite B Building 2 Harvest Park, Wallingford, CT 06492 | 2020-06-11 |
| 1528692480 | Hilary Caitlin Sullivan | Nurse Practitioner | Park Avenue Medical, LLC, 85 Barnes Road, Suite 202, Wallingford, CT 06492 | 2020-02-28 |
| 1902370943 | Alicia Anne Eldridge | Student in an Organized Health Care Education/Training Program | 88 Cheshire Road, Wallingford, CT 06492 | 2019-01-13 |
| 1114409562 | Doreen Gail Barile | Pharmacist | 846 North Colony Road, Wallingford, CT 06492 | 2018-09-02 |
| 1942782354 | Brad Becker | Pharmacist | 846 North Colony Rd, Walingford, CT 06492 | 2018-08-31 |
| 1477041564 | Melissa A Fazzolari | Nurse Practitioner | 850 N Main Street Ext Ste B, Wallingford, CT 06492 | 2018-04-25 |
| 1992235857 | Karen Ann Meers | Behavioral Analyst | 29 North Plains Highway, Unit 15, Wallingford, CT 06492 | 2017-06-14 |
| 1992232698 | Chelsea Clements | Occupational Therapist | 87 Southwind Dr, Wallingford, CT 06492 | 2017-05-12 |
| 1659822369 | Sara Frawley | Naturopath | 850 N. Main Street Extention, Building 2 Suite 3c, Wallingford, CT 06492 | 2016-10-18 |
| 1083085518 | Energetic Spine Chiropractic | Chiropractor | 1271 South Broad St., Unit #11, Wallingford, CT 06492 | 2015-10-09 |
| Find all providers in zip 06492 | ||||
| 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 |
|---|---|---|---|---|
| 1073170809 | Jamie Lynn Pedersen | Physical Therapist | 104 S Turnpike Rd, Wallingford, CT 06492-4320 | 2019-05-28 |
| 1154816015 | Christopher Andrew Oksanen | Physical Therapist | 60 White Tail Ln, Wallingford, CT 06492-5351 | 2018-06-24 |
| 1801388467 | Brian Robert Finch I | Physical Therapist | 96 White Rocks Picnic Rd, Wallingford, VT 05773-4417 | 2018-05-30 |
| 1124544796 | Ashley Watts | Physical Therapist | 85 Barnes Rd Ste 109, Wallingford, CT 06492-1832 | 2017-08-16 |
| 1437674413 | Elizabeth Anne Saia Warren | Physical Therapist | 850 N Main Street Ext Ste 3b, Wallingford, CT 06492-2400 | 2017-08-10 |
| 1265899249 | Ruba Nachef | Physical Therapist | 118 S Providence Rd, Wallingford, PA 19086-6332 | 2016-01-21 |
| 1992179592 | Duane Scotti | Physical Therapist | 850 N Main Street Ext Ste 1b3, Wallingford, CT 06492-2466 | 2015-11-19 |
| 1588040448 | Janet Buckley | Physical Therapist | 801 Pleasant Hill Rd, Wallingford, PA 19086-7211 | 2015-08-03 |
| 1649658352 | Erin Soprano | Physical Therapist | 9 Malchiodi Dr, Wallingford, CT 06492-2619 | 2015-05-13 |
| 1609149194 | Nicholas Rezendes | Physical Therapist | 78 Staffordshire Commons Dr, Wallingford, CT 06492-1757 | 2012-02-15 |
| Find all providers in WALLINGFORD | ||||
| City | WALLINGFORD |
| Zip Code | 06492 |
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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.