ELIZABETH CLARK (NPI# 1629441829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629441829 |
| Entity Type | Individual |
| Full Name | ELIZABETH CLARK |
| Practice Address |
125 Island Dr Hendersonville TN 37075-4544 |
| Practice Telephone | 6157149224 |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2015-11-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
5559 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083192959 | Elizabeth Grace Clark | Physical Therapist | 1010 Monarch St Ste 150, Lexington, KY 40513-1892 | 2018-08-02 |
| 1548755176 | Elizabeth F Clark | Psychologist | 16 Gleasondale Rd, Stow, MA 01775-1465 | 2018-06-26 |
| 1699217927 | Elizabeth Clark | Counselor | 4200 Ridgecrest Cir Ste A-6, Amarillo, TX 79109-5416 | 2016-11-17 |
| 1346604584 | Elizabeth Ann Clark | Nurse Practitioner | 32 Allen Ct, Staten Island, NY 10310-2703 | 2016-04-13 |
| 1356706543 | Elizabeth Clark | Public Health or Welfare | 295 Broadmeadow Cv, Roswell, GA 30075-2950 | 2015-12-15 |
| 1477946770 | Elizabeth Clark | Counselor | 1250 Route 171, Woodstock, CT 06281-2127 | 2015-03-10 |
| 1649674847 | Elizabeth Clark | Nurse Practitioner | 620 19th Street South 5th Floor Spain Wallace P572c, Birmingham, AL 35233-7410 | 2014-10-16 |
| 1851708325 | Elizabeth Clark | Counselor | 52 Oxford St, Somerville, MA 02143-1608 | 2014-07-16 |
| 1932527579 | Elizabeth Anne Clark | Obstetrics & Gynecology | Dept of Ob Gyn Msc 10 5580, 1 University of New Mexico, Albuquerque, NM 87131 | 2014-04-01 |
| 1700187564 | Elizabeth B Clark | Physical Therapist | 155 Siemers Dr Ste 8, Cape Girardeau, MO 63701-4910 | 2010-11-10 |
| Street Address |
125 ISLAND DR |
| City | HENDERSONVILLE |
| State | TN |
| Zip Code | 37075-4544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659491553 | Cornelia Courtney Waldrum | Physical Therapist | 125 Island Dr, Hendersonville, TN 37075-4544 | 2007-04-02 |
| 1740651991 | Mary Ann Hendren | Physical Therapy Assistant | 125 Island Dr, Hendersonville, TN 37075-4544 | 2015-10-14 |
| 1417374364 | Lindsay Backus | Speech-Language Pathologist | 125 Island Dr, Hendersonville, TN 37075-4544 | 2014-03-27 |
| 1518396563 | Kendra Dawson Browder | Occupational Therapist | 125 Island Dr, Hendersonville, TN 37075-4544 | 2013-11-09 |
| 1740612407 | Abbie Ghera | Speech-Language Pathologist | 125 Island Dr, Hendersonville, TN 37075-4544 | 2013-08-05 |
| 1063852697 | Monica Korgan | Speech-Language Pathologist | 125 Island Dr, Hendersonville, TN 37075-4544 | 2013-06-27 |
| 1952657082 | Amanda Jean Russell | Occupational Therapist | 125 Island Dr, Hendersonville, TN 37075-4544 | 2012-07-26 |
| 1184970261 | Lindsey Kirkland Hickman | Occupational Therapist | 125 Island Dr, Hendersonville, TN 37075-4544 | 2012-07-26 |
| 1306191606 | Ruth Ellen Karas | Occupational Therapist | 125 Island Dr, Hendersonville, TN 37075-4544 | 2012-07-23 |
| 1104182955 | Leah Ann Ball | Occupational Therapist | 125 Island Dr, Hendersonville, TN 37075-4544 | 2012-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667425 | Results-ast Jv, LLC | Physical Therapist | 326 New Shackle Island Rd, Suite 300, Hendersonville, TN 37075 | 2020-10-21 |
| 1871126524 | Jessica Elise Williams | Nurse Practitioner | 100 Indian Lake Blvd, Hendersonville, TN 37075 | 2020-02-20 |
| 1003379108 | Infusion Express of Tennessee, PC | Clinic/Center | 1006 Glenbrook Way, Ste 130, Hendersonville, TN 37075 | 2019-04-08 |
| 1417414335 | Red Owl Industries, LLC | Chiropractor | 16 Executive Park Dr # 100, Hendersonville, TN 37075 | 2019-02-27 |
| 1992203368 | Cassie Berman | Occupational Therapist | 209 Shivel Drive, Hendersonville, TN 37075 | 2018-01-31 |
| 1407379373 | Hendersonville Smiles Dentistry, PC | Dentist | 1002 Glenbrook Way, Suite 200, Hendersonville, TN 37075 | 2017-07-21 |
| 1215483466 | Ryan Escue | Registered Nurse | 4221 Harding Pike, Nashville, TN 37075 | 2016-08-28 |
| 1003279589 | Grant Anderson | Physician Assistant | 211 Indian Lake Bloulevard, Hendersonville, TN 37075 | 2016-04-01 |
| 1073974192 | Jennifer Kramer | Nurse Practitioner | 103 Hazel Path Ct, Suite 7, Hendersonville, TN 37075 | 2016-03-16 |
| 1144680315 | Catherine Alexandria Wellendorf | Specialist/Technologist | 3126 Long Hollow Pike, Hendersonville, TN 37075 | 2016-03-02 |
| Find all providers in zip 37075 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659491553 | Cornelia Courtney Waldrum | Physical Therapist | 125 Island Dr, Hendersonville, TN 37075-4544 | 2007-04-02 |
| 1740348788 | Emily J Freeman | Physical Therapist | 2560 Chimney Rock Rd, Ste F, Hendersonville, NC 28792-8108 | 2006-12-04 |
| 1326385444 | The Therapy Center of Hendersonville | Physical Therapist | 139 Maple Row Blvd, Suite 202, Hendersonville, TN 37075-4487 | 2013-01-09 |
| 1336367614 | Kids N Motion Physical Therapy LLC | Physical Therapist | 2560 Chimney Rock Rd, Suite F, Hendersonville, NC 28792-8108 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356889992 | Konstance Hines | Physical Therapist | 7827 Anna Calla Way, Bartlett, TN 38133-5809 | 2017-02-02 |
| 1659813905 | Kimberly W. Coffey | Physical Therapist | 8350 Mitchell Mill Rd, Ooltewah, TN 37363-6861 | 2016-11-16 |
| 1013461219 | Courtney Jones | Physical Therapist | 101 Glenway Ct, Nashville, TN 37221-3021 | 2016-08-05 |
| 1093129900 | Kimberly Sherman Lee | Physical Therapist | 1045 Spencer Rd, Rock Island, TN 38581 | 2014-06-18 |
| 1508270505 | Continuum Healthcare Staffing LLC | Physical Therapist | 819 Oaklawn Ct, Cookeville, TN 38501-2921 | 2014-06-17 |
| 1649523622 | Melinda Kay Giles | Physical Therapist | 686 Poplar Dr, Mount Juliet, TN 37122-4106 | 2012-10-16 |
| 1710234414 | Pamela Lee Woodside | Physical Therapist | 9720 Mountain Ash Ct, Brentwood, TN 37027-8955 | 2012-08-13 |
| 1306117130 | Linda C Burgess | Physical Therapist | 7370 Forrest Glenn Rd, Fairview, TN 37062-8311 | 2012-01-25 |
| 1497039374 | Lebanon Special School District | Physical Therapist | 507 Coles Ferry Pike, Lebanon, TN 37087-2209 | 2011-10-10 |
| 1952576415 | Bethany Lambert | Physical Therapist | 1880 B General George Patton, #202, Nashville, TN 37067 | 2008-04-25 |
| Find all providers with the same taxonomy | ||||
| City | HENDERSONVILLE |
| Zip Code | 37075 |
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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.