JAMIE ALBERT CLARK (NPI# 1265962617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265962617 |
| Entity Type | Individual |
| Full Name | JAMIE ALBERT CLARK |
| Credential | PT |
| Practice Address |
2115 Empire Blvd Webster NY 14580-1907 |
| Mailing Address |
68 Princeton Ln Fairport NY 14450-9027 |
| Practice Telephone | 5852679547 |
| Mailing Telephone | (585) 267-9547 |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251S0007X |
Physical Therapist Specialization: Sports |
024340 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1671 Penfield Rd Ste 6, Rochester, NY 146252568 | 5852679547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992287429 | Jamie Leigh Clark | Peer Specialist | 2441 Ne 10th St Apt 4, Oklahoma City, OK 73117-5045 | 2018-08-31 |
| 1265782254 | Jamie M Clark | Counselor | 1817 E Springfield Ave Ste D, Spokane, WA 99202 | 2012-09-17 |
| 1477679462 | Jamie Clark | Counselor | 4 Sharon Rd, Enola, PA 17025-1823 | 2007-03-21 |
| 1780793851 | Jamie Sartwell Clark | Social Worker | 13414 Hooper Rd Ste D, Baton Rouge, LA 70818-2909 | 2006-08-30 |
| 1568025310 | Jamie Marie Clark | Student in an Organized Health Care Education/Training Program | 1211 Medical Center Dr, 2301 Vuh, Nashville, TN 37232-7237 | 2019-04-17 |
| 1740792498 | Jamie Clark | Physical Therapy Assistant | 1264 Airport Rd, Marion, NC 28752-3190 | 2017-11-02 |
| 1962893750 | Jamie L. Clark | Occupational Therapist | 18288 N Us Hwy 41, Lutz, FL 33549 | 2015-02-14 |
| 1386072254 | Jamie David Clark | Pharmacist | 3795 Tamiami Trl, Punta Gorda, FL 33950-7900 | 2013-10-31 |
| 1629319694 | Jamie Chapman Clark | Dentist | 25 Northridge Ln, Lexington, VA 24450-3399 | 2013-03-15 |
| 1366673774 | Jamie L Clark | Social Worker | 1450 S Lapeer Rd, Oxford, MI 48371-6108 | 2009-08-03 |
| Street Address |
2115 EMPIRE BLVD |
| City | WEBSTER |
| State | NY |
| Zip Code | 14580-1907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346306560 | Garylgiangrecopc | Clinic/Center | 2115 Empire Blvd, Webster, NY 14580-1907 | 2006-12-29 |
| 1003395443 | Driscoll Chiropractic Pllc | Clinic/Center | 2115 Empire Blvd, Webster, NY 14580-1907 | 2018-08-07 |
| 1124542170 | Clark Physical Therapy, P.C. | Physical Therapist | 2115 Empire Blvd, Webster, NY 14580-1907 | 2017-08-01 |
| 1245696467 | Gary L Giangreco Ddc PC | Dentist | 2115 Empire Blvd, Webster, NY 14580-1907 | 2016-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134755069 | John Denaro Iv | Hearing Instrument Specialist | 1900 Empire Boulevard, Miracle Ear, Webster, NY 14580 | 2020-03-23 |
| 1740813161 | National Vision Inc | Optometrist | 927 Hold Road, Suite 300, Webster, NY 14580 | 2020-02-13 |
| 1447808738 | Neva French | Technician | 1640 Lake Road, Webster, NY 14580 | 2019-08-29 |
| 1699329946 | Jillian Schifano Sweeney | Registered Nurse | 119 South Ave, Wcsd, Webster, NY 14580 | 2019-07-25 |
| 1699232355 | Kw Health System, Inc. | Clinic/Center | 53 Salori Court, Temporary Location, Webster, NY 14580 | 2019-02-28 |
| 1174090393 | Brent William Fairchild | Physician Assistant | 1081 Bright Stream Way, Webster, NY 14580 | 2018-10-25 |
| 1114435500 | Vanisha Mcbean | Licensed Practical Nurse | 164 Country Manor Way Apt 22, Webster, NY 14580 | 2018-01-19 |
| 1235658204 | Amarilis Perez | Licensed Practical Nurse | 15 Huntsman Way, Webster, NY 14580 | 2017-09-11 |
| 1710425178 | Michelle Malle Michlin | Licensed Practical Nurse | 1095 Fawnwood Drive, Webster, NY 14580 | 2017-02-06 |
| 1851743900 | Linda A Harris | Social Worker | 63 Daytona Ave, Webster, NY 14580 | 2016-07-12 |
| Find all providers in zip 14580 | ||||
| Taxonomy Code | 2251S0007X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124542170 | Clark Physical Therapy, P.C. | Physical Therapist | 2115 Empire Blvd, Webster, NY 14580-1907 | 2017-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902412711 | Nicole Erin | Physical Therapist | 780 8th Ave Ste 300, New York, NY 10036-7000 | 2020-09-17 |
| 1457983405 | Set Physical Therapy Pllc | Physical Therapist | 211 E 43rd St Rm 1101, New York, NY 10017-4769 | 2020-02-07 |
| 1750929725 | Rock Pt Rehab | Physical Therapist | 16 E 48th St # 6f, New York, NY 10017-1017 | 2019-12-20 |
| 1821642109 | Seguia & Eleazar Physical Therapy Pllc | Physical Therapist | 403 E 91st St Fl 4, New York, NY 10128-6800 | 2019-07-25 |
| 1942853981 | Precision Physical Therapy and Sports Medicine Pllc | Physical Therapist | 1469 State Route 7, Richmondville, NY 12149 | 2019-07-18 |
| 1982260915 | Celebi & Smith Pt Pllc | Physical Therapist | 50 Austin Blvd, Commack, NY 11725-5723 | 2019-05-15 |
| 1760962062 | Michael James Hannett | Physical Therapist | 278 W 81st St, New York, NY 10024-5728 | 2018-08-16 |
| 1770079550 | Suarez Sport & Orthopedic Physical Therapy Pllc | Physical Therapist | 201 Beryl Way, Watervliet, NY 12189-2970 | 2018-07-05 |
| 1992254585 | Maurizio A Llin Pt PC | Physical Therapist | 4029 168th St, Flushing, NY 11358-2630 | 2016-09-24 |
| 1831558139 | Derek Mansfield | Physical Therapist | 145 Palisade St Ste 200, Dobbs Ferry, NY 10522 | 2016-02-15 |
| 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.