DANIEL R CLARK (NPI# 1609222439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609222439 |
| Entity Type | Individual |
| Full Name | DANIEL R CLARK |
| Credential | DPT |
| Practice Address |
1041 Brighton Ave Portland ME 04102-1042 |
| Practice Telephone | 2076994111 |
| Practice Fax Number | 2077738814 |
| Mailing Telephone | 2076994111 |
| Mailing Fax Number | 2077738814 |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT4699 | ME | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 94 Auburn St Ste 103, Portland, ME 041032141 | 2077977578 | 2077978165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336771955 | Daniel Lee Clark | Contractor | 2151 Harvey Mitchell Pkwy S Ste 227, College Station, TX 77840-5242 | 2020-02-11 |
| 1043613649 | Daniel Clark | Nurse Practitioner | 3451 Bald Mountain Rd, Lake Orion, MI 48360-2401 | 2014-09-27 |
| 1124212345 | Daniel Curtis Clark | Chiropractor | 860 E. Remington Drive, Suite C, Sunnyvale, CA 94087-2913 | 2007-08-30 |
| 1619168796 | Daniel W Clark | Psychologist | 1405 Harrison Ave Nw Ste 205, Olympia, WA 98502-5327 | 2007-08-05 |
| 1275757130 | Daniel Charles Clark | Social Worker | 3829 S Duquesne Rd, Joplin, MO 64804-5409 | 2007-04-12 |
| 1851308472 | Daniel John Clark | Dentist | 624 S High St, Hillsboro, OH 45133 | 2006-08-03 |
| 1184669210 | Daniel Stewart Clark | Chiropractor | 41060 Hayes Road, Clinton Township, MI 48038 | 2006-06-20 |
| 1548219256 | Daniel M Clark | Obstetrics & Gynecology | 4333 S Lowes Creek Rd, Eau Claire, WI 54701-7405 | 2006-05-09 |
| 1225093891 | Daniel Curtis Clark | Psychologist | 3196 Parliament Cir, Suite 400, Montgomery, AL 36116-7271 | 2006-04-18 |
| 1700487360 | Daniel Clark | Pharmacist | 660 S 1750 W, Springville, UT 84663-3071 | 2020-11-02 |
| Street Address |
1041 BRIGHTON AVE |
| City | PORTLAND |
| State | ME |
| Zip Code | 04102-1042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053455782 | Keeoli Corp Dba Vipeyes | Technician/Technologist | 1041 Brighton Ave, Portland, ME 04102-1042 | 2007-02-16 |
| 1689142044 | Branden George | Physical Therapist | 1041 Brighton Ave, Portland, ME 04102-1042 | 2018-11-05 |
| 1245719657 | Hannah Peabody | Physical Therapist | 1041 Brighton Ave, Portland, ME 04102-1042 | 2018-08-08 |
| 1275048134 | Alexandra Tracy | Physical Therapist | 1041 Brighton Ave, Portland, ME 04102-1042 | 2017-12-13 |
| 1952826935 | Haylee A Graves | Physical Therapist | 1041 Brighton Ave, Portland, ME 04102-1042 | 2017-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720602964 | Ci Yen Joanna Man | Student in an Organized Health Care Education/Training Program | 190 Park Ave., Portland, ME 04102 | 2020-06-03 |
| 1841811338 | Abby Zarotny Sahagian | Nurse Anesthetist, Certified Registered | Mmc Anesthesia and Perioperative Medicine, 22 Bramhall St, Portland, ME 04102 | 2020-05-06 |
| 1124656863 | Zachary Bernard Tillett | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall St., Portland, ME 04102 | 2020-03-30 |
| 1215564323 | Joshua Allen Swenson | Student in an Organized Health Care Education/Training Program | 33 Bramhall St, Portland, ME 04102 | 2020-03-26 |
| 1740776434 | Rishi Phakey | Dentist | Community Dental, 190 Park Ave, Portland, ME 04102 | 2018-07-05 |
| 1982192571 | Jessica Thomas | Doula | 619 Brighton Ave #101, Rosemont Wellness Center, Portland, ME 04102 | 2018-04-29 |
| 1699270744 | Shane D Kirkegaard | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall Street, Portland, ME 04102 | 2018-03-29 |
| 1144752494 | Al-shawk Home Healthcare, LLC | Technician | 640 Brighton Ave Ste 8, Portland, ME 04102 | 2017-03-28 |
| 1376074674 | Samuel B Potter | Emergency Medicine | Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 | 2017-03-27 |
| 1043767536 | Kevin De Ruiter | Social Worker | 129 Pine St Apt 6, Portland, ME 04102 | 2016-09-01 |
| Find all providers in zip 04102 | ||||
| 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 |
|---|---|---|---|---|
| 1356942221 | Joseph Cody Brainard | Physical Therapist | 4416 Ne Simpson St, Portland, OR 97218-1446 | 2020-11-05 |
| 1497355978 | Ptmobile Physical Therapy LLC | Physical Therapist | 9505 Sw 50th Ave, Portland, OR 97219-5159 | 2020-10-26 |
| 1376142133 | Randy Dittmar | Physical Therapist | 10120 Sw Park Way, Portland, OR 97225-5008 | 2020-10-22 |
| 1386250058 | Christopher Choi | Physical Therapist | 1307 Ne 102nd Ave Ste T1, Portland, OR 97220-3980 | 2020-09-18 |
| 1063026987 | Sara Marie Lindauer | Physical Therapist | 3934 Ne Martin Luther King Jr Blvd Ste 203, Portland, OR 97212-1153 | 2020-09-08 |
| 1891307492 | Emily Fleischman | Physical Therapist | 2714 Ne 60th Ave, Portland, OR 97213-3906 | 2020-08-17 |
| 1083224034 | Matthew Morris | Physical Therapist | 1364 Congress St Ste 3, Portland, ME 04102-2170 | 2020-08-05 |
| 1871101634 | Liz Ruegg Physical Therapy LLC | Physical Therapist | 2903 Se Brooklyn St, Portland, OR 97202-2026 | 2020-07-17 |
| 1770101776 | Taylor Eckel | Physical Therapist | 818 Nw 14th Ave, Portland, OR 97209-2703 | 2020-07-07 |
| 1659996122 | Brooke Bailey | Physical Therapist | 5331 S Macadam Ave Ste 105, Portland, OR 97239-3848 | 2020-06-10 |
| Find all providers in PORTLAND | ||||
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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.