PETER JAMES CLARK


Address: 502 E Boone Ave, Ad Box 66, Spokane, WA 99258-1774
Phone: 5093135591

PETER JAMES CLARK (NPI# 1346511094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346511094
Entity Type Individual
Full Name PETER JAMES CLARK
Credential ATC, AT-L, CSCS, MA
Practice Address 502 E Boone Ave
Ad Box 66
Spokane
WA 99258-1774
Practice Telephone 5093135591
Practice Fax Number 5093135789
Mailing Telephone 5093135591
Mailing Fax Number 5093135789
Enumeration Date 2012-01-25
Last Update Date 2012-01-25
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
A160047423 WA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers PETER CLARK

NPI Name Taxonomy Address Enumeration
1548616485 Peter Clark Ophthalmology 3601 4th St Rm 2a100, Lubbock, TX 79430-1931 2016-05-10
1154660314 Peter Edward Clark Physical Therapy Assistant 630 Linda Ct, Palm Harbor, FL 34684-4624 2013-02-07
1407174998 Peter A Clark Social Worker 10 Water St Ste 306, Waterville, ME 04901-6566 2010-05-10
1447310289 Peter Clark Psychologist 203 W 21st Ave, Covington, LA 70433-3151 2006-12-11
1821106709 Peter Clark Internal Medicine 670 Sierra Rose Dr, Reno, NV 89511-2072 2006-08-29
1891789087 Peter Michael Clark Specialist/Technologist 23 Bridgton Rd, Westbrook, ME 04092-3653 2005-09-02
1679575385 Peter Clark Contractor 785 Central Rd, Rye Beach, NH 03871-9005 2005-08-12
1710294434 Peter Clark Counselor 519 17th St, Suite 210, Oakland, CA 94612-1527 2010-09-01
1164664967 Peter J Clark Psychiatry & Neurology 99 Beauvoir Ave, Summit, NJ 07901-3533 2009-03-25
1528113628 Peter Clark Family Medicine 85 Sierra Park Rd, Mammoth Lakes, CA 93546-0660 2007-01-25

Office Location

Street Address 502 E BOONE AVE
AD BOX 66
City SPOKANE
State WA
Zip Code 99258-1774

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124093497 Paul B Hastings Psychologist 502 E Boone Ave, Spokane, WA 99258-1774 2006-02-21
1295332252 Jennifer Quartermaine Nurse Practitioner 502 E Boone Ave, Spokane, WA 99258-0001 2020-10-02
1821603069 Matthew Harrison Volk Registered Nurse 502 E Boone Ave, Spokane, WA 99258-0001 2020-09-14
1386253276 Adam Berens Student in an Organized Health Care Education/Training Program 502 E Boone Ave, Spokane, WA 99258-0001 2020-07-27
1336768928 Kendall Gallop Specialist/Technologist 502 E Boone Ave, Spokane, WA 99258-1774 2020-04-13
1861031213 Morgan Sloan Nurse Practitioner 502 E Boone Ave, Spokane, WA 99258 2020-01-02
1407492937 Kristin Headrick Student in an Organized Health Care Education/Training Program 502 E Boone Ave, Spokane, WA 99258-1774 2019-11-19
1912549627 Irene A Gielen Student in an Organized Health Care Education/Training Program 502 E Boone Ave, Spokane, WA 99258-0001 2019-10-14
1841753217 Dagmara Barney Student in an Organized Health Care Education/Training Program 502 E Boone Ave, Spokane, WA 99258-1774 2019-04-11
1396235636 William Edward Drake Specialist/Technologist 502 E Boone Ave, Spokane, WA 99258-0066 2018-05-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568494045 Valerie Kolokoff Family Medicine Gonzaga University Student Health 704 E Sharp, Spokane, WA 99258 2006-07-07
1649233511 Erin Marie Morrison Psychiatry & Neurology 704 E Sharp, Spokane, WA 99258 2006-04-10
1760506406 Nancy K Crotty Specialist 704 E Sharp Ave, Spokane, WA 99258-0001 2007-03-19
1023114758 Patricia Lea Hines Nurse Practitioner 702 E Sharp Ave, Spokane, WA 99258-0001 2006-09-16
1154397115 Steven D Koffman Psychologist 714 E Boone, Rosauer Jcenter Education Rc 268, Spokane, WA 99258-0001 2006-02-28
1700842523 Shann Ferch Psychologist 714 E Boone, Ad Box 25, Spokane, WA 99258-0001 2006-04-21
1790952141 Nancy L. Worsham Psychologist East 502 Boone Ave, Gonzaga University Psychology Department, Spokane, WA 99258-0056 2008-05-14
1558770271 Kathryn Lorraine Johnson Specialist/Technologist Gonzaga University 502 E Boone, Spokane, WA 99258-0066 2014-08-06
1316286958 Ortiz Sunrise Counseling Services Co Community/Behavioral Health 502 E Boone Ave # Ad94, Spokane, WA 99258-0094 2013-02-01
1477004653 Mollie Simonson Emergency Medical Technician, Basic Gonzaga University Msc 3838, 502 E Boone Ave., Spokane, WA 99258-2500 2016-10-21
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Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316569312 Nora Ifft Specialist/Technologist 302 W Hastings Rd, Spokane, WA 99218-2545 2020-05-12
1851953798 Joseph Hurley Specialist/Technologist 700 W Mallon Ave, Spokane, WA 99201-2134 2019-07-01
1184119646 Leah Corra Specialist/Technologist 15001 N Wandermere Rd Apt F208, Spokane, WA 99208-8749 2018-06-27
1235621558 Sean Louis Bernier Specialist/Technologist 2001 E 14th Ave, Spokane, WA 99202-3561 2018-06-01
1891282455 Timary Mathena Specialist/Technologist 11107 North Astor Road, Spokane, WA 99218 2018-04-19
1144729831 Caitlin Wilhoite Specialist/Technologist 10617 N Waikiki Rd, Spokane, WA 99218-2542 2018-02-08
1871002477 Phoebe Duke Specialist/Technologist 3410 W Fort George Wright Dr, Spokane, WA 99224-5204 2017-09-26
1750803151 Charles Hatfield Woolley V Specialist/Technologist 4707 E Upriver Dr Apt W205, Spokane, WA 99217-7360 2017-07-07
1720437619 Andrea Stump Specialist/Technologist 8821 N Hill N Dale St, Apt 12, Spokane, WA 99218-1100 2016-06-10
1154728806 Kelsey Anne Wakefield Specialist/Technologist 601 S Conklin St, Spokane, WA 99202-2320 2014-11-24
Find all providers in SPOKANE

Competitor

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City SPOKANE
Zip Code 99258

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Dataset Information

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.

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