JEFFREY CLARK (NPI# 1467648048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467648048 |
| Entity Type | Individual |
| Full Name | JEFFREY CLARK |
| Credential | PTA |
| Practice Address |
1010 W Main St Henderson TX 75652-2923 |
| Mailing Address |
115 Kelli Dr Forney TX 75126-9564 |
| Practice Telephone | 9036576945 |
| Practice Fax Number | 9036579061 |
| Mailing Telephone | 9725523419 |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2007-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 2004982 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619505914 | Jeffrey Scott Clark | Counselor | 402 E Yakima Ave Ste 800-c, Yakima, WA 98901-5407 | 2020-03-31 |
| 1063805844 | Jeffrey Clark | Specialist/Technologist | 315 Reber Ave, Lancaster, OH 43130-1761 | 2015-03-18 |
| 1134535248 | Jeffrey Clark | Hearing Instrument Specialist | 123 E Mondamin St, Minooka, IL 60447-9896 | 2014-07-09 |
| 1174942353 | Jeffrey Clark | Pediatrics | 9576 Hwy 70, Department of Pediatrics, Minocqua, WI 54548 | 2014-04-15 |
| 1881958767 | Jeffrey Kenneth Clark | Pharmacist | 12850 E Montview Blvd Ste C238, Aurora, CO 80045-2605 | 2012-06-26 |
| 1912285495 | Jeffrey S Clark | Chiropractor | 203 Railroad St Ste 3c, Buda, TX 78610-3437 | 2011-08-01 |
| 1003100934 | Jeffrey Paul Clark | Dentist | 1403 N Loop 336 W, Conroe, TX 77304-3503 | 2011-06-08 |
| 1942520044 | Jeffrey B Clark | Dentist | 2133 Belcourt Avenue, Nashville, TN 37212-3503 | 2010-06-11 |
| 1730405333 | Jeffrey Clark | Pharmacist | 611 N Perry St, Bldg #2, Suite 202, Spokane, WA 99202-5011 | 2010-04-08 |
| 1891989158 | Jeffrey Michael Clark | Dentist | 10429 Lagrima De Oro Rd Ne, Albuquerque, NM 87111 | 2007-08-30 |
| Street Address |
1010 W MAIN ST |
| City | HENDERSON |
| State | TX |
| Zip Code | 75652-2923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366841694 | Titus County Hospital District | Skilled Nursing Facility | 1010 W Main St, Henderson, TX 75652-2923 | 2014-08-22 |
| 1417275538 | Susie Peterson | Speech-Language Pathologist | 1010 W Main St, Henderson, TX 75652-2923 | 2010-05-13 |
| 1275865057 | Anabel Flores | Physical Therapy Assistant | 1010 W Main St, Henderson, TX 75652-2923 | 2010-02-04 |
| 1992031322 | Henderson Snf LLC | Durable Medical Equipment & Medical Supplies | 1010 W Main St, Henderson, TX 75652-2923 | 2009-10-20 |
| 1821228776 | Pamela Ervin Sanders | Occupational Therapy Assistant | 1010 W Main St, Henderson, TX 75652-2923 | 2009-07-24 |
| 1437386653 | Kimberly Jane Olague | Physical Therapy Assistant | 1010 W Main St, Henderson, TX 75652-2923 | 2009-06-15 |
| 1124277827 | Merianne Sharp | Occupational Therapy Assistant | 1010 W Main St, Henderson, TX 75652-2923 | 2008-09-17 |
| 1205085909 | Jeanette Parker | Speech-Language Pathologist | 1010 W Main St, Henderson, TX 75652-2923 | 2008-09-17 |
| 1710174495 | Tamara Mccann | Physical Therapy Assistant | 1010 W Main St, Henderson, TX 75652-2923 | 2007-09-26 |
| 1174719439 | Peter Kiarie Kariuki | Occupational Therapist | 1010 W Main St, Henderson, TX 75652-2923 | 2007-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184264384 | John Etakibuebu | Pharmacist | 2415 Hwy 79 S, Henderson, TX 75652 | 2020-01-15 |
| 1841758596 | Janet Juanita Ray | Registered Nurse | 1987 Fm 2276 N, Henderson, TX 75652 | 2019-03-12 |
| 1912490483 | Matthew Davis Acres | Dentist | 1910 Tx-43, Henderson, TX 75652 | 2018-06-11 |
| 1467863407 | Counseling Services | Counselor | 1103 Wilson Street, Henderson, TX 75652 | 2014-05-13 |
| 1285900852 | Linda June Pool | Music Therapist | 6861 Fm 1251 E., Henderson, TX 75652 | 2012-03-28 |
| 1780992586 | Furqueron & Jackson Dentistry Partnership | Dentist | 1910 State Hwy 43 East, Henderson, TX 75652 | 2010-09-15 |
| 1235396359 | Crystal Touchstone | Physical Therapy Assistant | 1010 W Main, Henderson, TX 75652 | 2008-05-16 |
| 1609082379 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 103 Truman, Henderson, TX 75652 | 2007-05-16 |
| 1790997302 | Billy George Brown | Dentist | 300-b North High Street, Henderson, TX 75652 | 2007-05-04 |
| 1043379761 | Donna G Mason-mcfalll | Counselor | 1103 Wilson St, Henderson, TX 75652 | 2006-12-08 |
| Find all providers in zip 75652 | ||||
| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) 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 |
|---|---|---|---|---|
| 1043786684 | Kathryn Ullom | Physical Therapy Assistant | 2611 Solera Moon Dr, Henderson, NV 89044-4440 | 2018-10-22 |
| 1295253532 | Kathleen Ladd Fejer | Physical Therapy Assistant | 1131 Woodcastle St, Henderson, NV 89052-2970 | 2017-09-07 |
| 1902328073 | April Patterson | Physical Therapy Assistant | 525 Harris St Apt 1518, Henderson, NV 89015-6170 | 2017-07-11 |
| 1578019824 | Nathan Kinnaird | Physical Therapy Assistant | 10930 Crab Creek Rd, Henderson, WV 25106-8640 | 2016-08-28 |
| 1275905192 | Katherine Lawhead | Physical Therapy Assistant | 11507 River Run Pkwy, Henderson, CO 80640-9293 | 2015-10-30 |
| 1104105949 | Melody Molln | Physical Therapy Assistant | 320 Conestoga Way Apt 7112, Henderson, NV 89002-9715 | 2011-08-10 |
| 1154617348 | Messina Dawn Klein | Physical Therapy Assistant | 6262 Ordaz Ave Unit 101, Henderson, NV 89011-1010 | 2011-06-26 |
| 1205121167 | Randall Lowe | Physical Therapy Assistant | 1005 Viale Placenza Pl, Henderson, NV 89011-0843 | 2011-06-17 |
| 1285964957 | Bradley William Garrett | Physical Therapy Assistant | 1024 N Elm St, Henderson, KY 42420-2713 | 2010-01-02 |
| 1235396359 | Crystal Touchstone | Physical Therapy Assistant | 1010 W Main, Henderson, TX 75652 | 2008-05-16 |
| Find all providers in HENDERSON | ||||
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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.