KYLE CLARK (NPI# 1376170613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376170613 |
| Entity Type | Individual |
| Full Name | KYLE CLARK |
| Credential | DPT |
| Practice Address |
3155 N Point Pkwy Alpharetta GA 30005-5481 |
| Practice Telephone | 8153829497 |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2020-03-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251S0007X |
Physical Therapist Specialization: Sports |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CHILDREN'S HEALTHCARE OF ATLANTA | 140547 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336787902 | Kyle Clark | Acupuncturist | 917 Sw Oak St Ste 308, Portland, OR 97205-2806 | 2019-12-13 |
| 1891955662 | Kyle Warner Clark | Dentist | 1008 Rushleigh Rd, Cleveland Heights, OH 44121-1415 | 2008-06-14 |
| 1922608926 | Kyle Clark | Pharmacist | 401 Linwood Plz, Lindsay, OK 73052-4602 | 2020-10-28 |
| 1427669480 | Kyle Clark | Behavior Technician | 1300 Locust St Ste C, Harrisonville, MO 64701-1366 | 2020-08-13 |
| 1750906533 | Kyle Clark | Behavior Technician | 13101 W Washington Blvd, Los Angeles, CA 90066-5131 | 2020-06-08 |
| 1801415864 | Kyle R Clark | Physician Assistant | 5666 E State St, Rockford, IL 61108-2425 | 2020-04-10 |
| 1669031829 | Kyle N Clark | Behavior Technician | 100 Spenryn Dr, Madison, AL 35758-1890 | 2019-06-11 |
| 1588134068 | Kyle Clark | Behavior Technician | 601 University Ave Ste 175, Sacramento, CA 95825-6739 | 2018-11-28 |
| 1639521206 | Kyle Allen Clark | Dentist | 113 Cross Creek Blvd, Salem, IL 62881-1921 | 2016-07-07 |
| 1679946057 | Kyle Clark | Pharmacist | 3780 E 15th St, Loveland, CO 80538-8766 | 2015-11-05 |
| Street Address |
3155 N POINT PKWY |
| City | ALPHARETTA |
| State | GA |
| Zip Code | 30005-5481 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548260904 | Vaishali B Kute | Pediatrics | 3155 N Point Pkwy, Bldg D Ste 200, Alpharetta, GA 30005-5481 | 2005-07-28 |
| 1669964912 | Amy M Lee | Physician Assistant | 3155 N Point Pkwy, Suite E100, Alpharetta, GA 30005 | 2018-06-02 |
| 1952793366 | Emoshoke Owie | Nurse Practitioner | 3155 N Point Pkwy, Bldg F, Ste 100, Alpharetta, GA 30005-5481 | 2015-02-22 |
| 1003216011 | Don Harvey Dental | Dentist | 3155 N Point Pkwy, Building E, Suite 230, Alpharetta, GA 30005-5481 | 2014-08-27 |
| 1659717536 | Priya Susan Thomas | Pediatrics | 3155 N Point Pkwy, D200, Alpharetta, GA 30005-5481 | 2013-05-17 |
| 1023350469 | David M Pehrson | Dentist | 3155 N Point Pkwy, Building D Suite 220, Alpharetta, GA 30005-5481 | 2013-03-25 |
| 1699030106 | Colby Jane Smith Smithson | Anesthesiologist Assistant | 3155 N Point Pkwy, Building F, Suite 100, Alpharetta, GA 30005-5481 | 2012-07-10 |
| 1528362167 | Sentinel Healthcare Services LLC | Anesthesiology | 3155 N Point Pkwy, Building F, Suite 100, Alpharetta, GA 30005-5481 | 2010-12-22 |
| 1144470808 | Preston Ridge Dermatology, PC | Dermatology | 3155 N Point Pkwy, Bldg E Ste 100, Alpharetta, GA 30005-5494 | 2008-09-30 |
| 1427234418 | Beth Ann Rosenberg II | Occupational Therapist | 3155 N Point Pkwy, D-100, Alpharetta, GA 30005-5481 | 2008-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615483 | Amarrah Shatia Guyton | Behavior Technician | 6505 Shiloh Point Road, Alpharetta, GA 30005 | 2020-09-29 |
| 1396351771 | Stephanie Hightower | Behavior Technician | 6505 Shiloh Pt Rd, Alpharetta, GA 30005 | 2020-09-21 |
| 1689130874 | Optima Eye Care LLC | Optometrist | 6365 Halcyon Way, Suite 935, Alpharetta, GA 30005 | 2019-02-13 |
| 1275006652 | Ariel Kaitlyn Petrakovich | Behavioral Analyst | 6505 Shiloh Road, Suite 100, Alpharetta, GA 30005 | 2019-01-08 |
| 1003306515 | Brightview Pharmacy, LLC | Pharmacy | 3333 Old Milton Pkwy Ste 130, Alpharetta, GA 30005 | 2018-05-10 |
| 1316452600 | Kara Marie Arps | Physical Therapist | 855 Yearling Chase, Alpharetta, GA 30005 | 2017-12-08 |
| 1417468307 | Paige Biringer | Physical Therapist | 6495 Shiloh Rd Ste 100, Alpharetta, GA 30005 | 2017-10-18 |
| 1528587169 | Laura Kinney Pearce | Speech-Language Pathologist | 6505 Shiloh Rd #100, Alpharetta, GA 30005 | 2017-09-14 |
| 1629526678 | Samantha Menton | Chiropractor | 11875 Jones Bridge Road, Suite A, Alpharetta, GA 30005 | 2016-09-20 |
| 1427424183 | Trek Medical, LLC | Clinic/Center | 5895 Windward Parkway, Suite 150, Alpharetta, GA 30005 | 2015-08-18 |
| Find all providers in zip 30005 | ||||
| Taxonomy Code | 2251S0007X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518595990 | Sarah Nameth | Physical Therapist | 3155 N Point Pkwy Ste A100, Alpharetta, GA 30005-5491 | 2020-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861013211 | Kelsey Thomasson Parramore | Physical Therapist | 1185 Zonolite Rd Ne, Atlanta, GA 30306-2011 | 2020-04-27 |
| 1518595149 | Taylor Crow Middleton | Physical Therapist | 605 Big Shanty Rd Nw, Kennesaw, GA 30144-3646 | 2020-03-30 |
| 1528695780 | Jodi Long | Physical Therapist | 1675 Cumberland Pkwy Se Ste 305, Smyrna, GA 30080-6360 | 2020-03-26 |
| 1629624002 | Aire Physical Therapy LLC | Physical Therapist | 659 Auburn Ave Ne Ste G06, Atlanta, GA 30312-1953 | 2019-08-12 |
| 1326502303 | Megan Elizabeth Maxwell | Physical Therapist | 3187 Clarks Bridge Rd, Gainesville, GA 30506-3721 | 2019-01-24 |
| 1811468796 | Caleb Lee Ebbets | Physical Therapist | 1459 Montreal Road, Medical Office Building, Suite 301, Tucker, GA 30084 | 2018-12-17 |
| 1043647514 | Asc Physical Therapy | Physical Therapist | 2581 Gresham Rd Se, Atlanta, GA 30316-4147 | 2013-09-30 |
| 1871898676 | Steve Earles | Physical Therapist | 1514 Piedmont Lake Road, Pine Mountain, GA 31822 | 2011-01-26 |
| 1083936074 | Starting Block Sports Medicine & Rehabilitation | Physical Therapist | 105 Smoke Hill Ln, Suite 120, Woodstock, GA 30188-7364 | 2010-02-18 |
| 1538394283 | Eric Allen | Physical Therapist | 1230 Peachtree St, Ste 1800, Atlanta, GA 30309-3574 | 2009-05-26 |
| Find all providers with the same taxonomy | ||||
| City | ALPHARETTA |
| Zip Code | 30005 |
Please comment or provide details below to improve the information on KYLE CLARK.
| 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.