MRS. PENNY JO CLARK (NPI# 1588861074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588861074 |
| Entity Type | Individual |
| Full Name | MRS. PENNY JO CLARK |
| Other Name | MISS PENNY JO HYDE |
| Credential | PT |
| Practice Address |
1600 23rd St Bedford IN 47421-4704 |
| Mailing Address |
2260 Mount Pleasant Rd Bedford IN 47421-8038 |
| Practice Telephone | 8122761282 |
| Practice Fax Number | 8122761281 |
| Mailing Telephone | 8122752243 |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 05008530A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821143611 | Penny Abel Clark | Social Worker | 419 Elaina Ln, Murfreesboro, TN 37128-5817 | 2007-01-24 |
| 1912220161 | Penny Jaymes Clark | Counselor | 1290 Jordan St, North Liberty, IA 52317-8020 | 2010-03-02 |
| 1568572790 | Penny Louise Clark | Counselor | 221 Palisade Ave, Palisade Behavioral Care, Jersey City, NJ 07306 | 2006-08-30 |
| Street Address |
1600 23RD ST |
| City | BEDFORD |
| State | IN |
| Zip Code | 47421-4704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265426092 | Dan Liviu Dusleag | Pediatrics | 1600 23rd St, Bedford, IN 47421 | 2005-09-08 |
| 1386258721 | Cassandra Skyer | Dietitian, Registered | 1600 23rd St, Bedford, IN 47421-4704 | 2020-09-02 |
| 1669885950 | Mid America Clinical Laboratories, LLC | Clinical Medical Laboratory | 1600 23rd St, Bedford, IN 47421-4704 | 2014-06-04 |
| 1780971234 | St Vincent Dunn Hospital Inc | Medicare Defined Swing Bed Unit | 1600 23rd St, Bedford, IN 47421-4704 | 2011-07-06 |
| 1407168784 | St Vincent Dunn Hospital Inc | Ambulance | 1600 23rd St, Bedford, IN 47421-4704 | 2010-07-02 |
| 1316259690 | St Vincent Dunn Hospital Inc | Clinical Medical Laboratory | 1600 23rd St, Bedford, IN 47421-4704 | 2010-07-02 |
| 1497074728 | St. Vincent Dunn Hospital Inc. | General Acute Care Hospital | 1600 23rd St, Bedford, IN 47421-4704 | 2010-05-26 |
| 1376783043 | Dunn Memorial Hospital | Durable Medical Equipment & Medical Supplies | 1600 23rd St, Bedford, IN 47421-4704 | 2009-02-20 |
| 1184873739 | Indiana Emergency Physicians LLP | Emergency Medicine | 1600 23rd St, Bedford, IN 47421-4704 | 2008-09-18 |
| 1871785030 | Dunn Memorial Hospital | Clinic/Center | 1600 23rd St, Bedford, IN 47421-4704 | 2007-08-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114406303 | Leana Michelle Massimini | Speech-Language Pathologist | 3710 Kenneth Simpson Ln, Bedford, IN 47421 | 2018-08-09 |
| 1497246888 | Sara Lehr Corry | Counselor | 2325 Q St., Bedford, IN 47421 | 2018-05-22 |
| 1760737274 | Lisa Lynne Autry | Social Worker | 2125 16th Street, Bedford, IN 47421 | 2012-07-20 |
| 1285998153 | Reid Clipp Crosby | Obstetrics & Gynecology | 118woodhill Dr, Bedford, IN 47421 | 2012-06-26 |
| 1730453184 | Fields Chiropractic Inc | Chiropractor | 2418 W 16th St, Bedford, IN 47421 | 2012-03-02 |
| 1639461783 | Lori Wininger | Physical Therapy Assistant | 2137 16th Street, Bedford, IN 47421 | 2011-05-09 |
| 1871743716 | Union Optical and Eyecare Center, Inc. | Optometrist | 3343 Michael Ave, Bedford, IN 47421 | 2008-09-29 |
| 1326207176 | Ross Wright | Surgery | 179 Shawswick Road, Bedford, IN 47421 | 2008-06-06 |
| 1336320563 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 1510 Clinic Dr, Bedford, IN 47421 | 2007-11-15 |
| 1306031992 | Assisted Living Concepts Inc | Assisted Living Facility | 3008 Shawnee Drive, South Bedford, IN 47421 | 2007-09-07 |
| Find all providers in zip 47421 | ||||
| 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 |
|---|---|---|---|---|
| 1134779614 | Access Physical Therapy, LLC | Physical Therapist | 158 Great Rd Unit J, #661, Bedford, MA 01730 | 2019-09-16 |
| 1861967796 | Revitalized Performance, LLC | Physical Therapist | 21 Commerce Park N, Bedford, NH 03110-7062 | 2018-10-08 |
| 1841779998 | Blake Miglin | Physical Therapist | 4153 Bedford Rd Ste 200, Bedford, TX 76021-5246 | 2018-08-09 |
| 1336632579 | Jesse Wolfe | Physical Therapist | 9613 Lincoln Hwy Ste 107, Bedford, PA 15522 | 2018-06-12 |
| 1245738368 | Ascend Sports & Orthopaedic Physical Therapy LLC | Physical Therapist | 3901 Airport Fwy Ste 115, Bedford, TX 76021-6117 | 2018-01-23 |
| 1467966846 | Shikha Maheshwari | Physical Therapist | 649 Old Post Rd, Bedford, NY 10506-1218 | 2017-11-21 |
| 1689187064 | Lori Merlo | Physical Therapist | 6 Paul Revere Road, Bedford, MA 01730 | 2017-11-08 |
| 1083139331 | Karolina Kozlova | Physical Therapist | 207 Meetinghouse Rd Unit 1, Bedford, NH 03110-6090 | 2017-08-08 |
| 1710402342 | Madelyn Schricker | Physical Therapist | 3 Cedar Hill Ct Ste C, Bedford, VA 24523-6457 | 2017-08-04 |
| 1972965283 | Emily Vandoren | Physical Therapist | 1705 Forest Ridge Drive, Bedford, TX 76022 | 2016-03-25 |
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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.