RUSSELL DERRICK CLARK (NPI# 1639530686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639530686 |
| Entity Type | Individual |
| Full Name | RUSSELL DERRICK CLARK |
| Credential | DPT |
| Practice Address |
1011 Grove Rd Ste 2a Greenville SC 29605-4660 |
| Practice Telephone | 8642335128 |
| Practice Fax Number | 8642712599 |
| Mailing Telephone | 8642335128 |
| Mailing Fax Number | 8642712599 |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2016-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 8087 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538692249 | Russell Clark | Audiologist | 3101 E State St Ste 2108, Eagle, ID 83616-6232 | 2017-04-10 |
| 1548641087 | Russell L Clark | Nurse Practitioner | 3443 Dickerson Pike Ste 660, Nashville, TN 37207-2519 | 2015-06-10 |
| 1952554420 | Russell Clark | General Acute Care Hospital | 1412 Liatris Way, Beaumont, CA 92223-8468 | 2008-10-28 |
| 1740232156 | Russell J Clark | Specialist | Two St. Mark's Place, Ste 110, La Grange, TX 78945 | 2006-05-16 |
| 1336784578 | Russell M Clark | Counselor | 528 E Main St Ste W, John Day, OR 97845-1289 | 2019-11-12 |
| 1306060249 | Russell Adelbert Clark | Dentist | 7825 47th Ave Ne, Suite C, Marysville, WA 98270-3732 | 2007-04-12 |
| 1790787497 | Russell Patrick Clark | Emergency Medicine | 3100 N Tenaya Way, Las Vegas, NV 89128-0436 | 2005-08-11 |
| Street Address |
1011 GROVE RD STE 2A |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29605-4660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346765831 | Justin Elliott Sarratt | Physical Therapist | 1011 Grove Rd Ste 2a, Greenville, SC 29605-4660 | 2017-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205306099 | Prisma Health University Medical Group | Family Medicine | 110 Osage Drive, Greenville, SC 29605 | 2018-12-05 |
| 1306325626 | Lauren Foster Fiscus | Occupational Therapist | 1900 Augusta Street, Suite 2500, Greenville, SC 29605 | 2018-08-08 |
| 1063914372 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1720 Augusta St, Greenville, SC 29605 | 2018-03-02 |
| 1144748385 | Johanna Ruth Henry | Speech-Language Pathologist | 1900 Augusta St., Suite 2500, Greenville, SC 29605 | 2017-09-08 |
| 1477083483 | Alexis Dean Pedigo | Speech-Language Pathologist | 1900 Augusta St, Suite 2500, Greenville, SC 29605 | 2017-06-13 |
| 1134658420 | Trace Christopher Deighan | Obstetrics & Gynecology | 890 West Faris Road, Suite 470, Greenville, SC 29605 | 2017-06-08 |
| 1023569837 | Blessed With Goodness, LLC | In Home Supportive Care | 716 E. Fairfield Road, Unit 120 (mailbox # 14), Greenville, SC 29605 | 2016-10-17 |
| 1972050953 | Suha Umina | Pharmacist | 975 W. Faris Road, Greenville, SC 29605 | 2016-09-07 |
| 1124470976 | Meredith Laine Cavagrotti | Specialist/Technologist | 700 Grove Rd, Greenville, SC 29605 | 2016-07-05 |
| 1205286895 | Med-trans Corporation | Ambulance | 552 Perimeter Rd, Greenville, SC 29605 | 2016-06-15 |
| Find all providers in zip 29605 | ||||
| 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 |
|---|---|---|---|---|
| 1104437284 | Samantha Elizabeth Lucey | Physical Therapist | 2470 Emerald Pl Ste B, Greenville, NC 27834-5786 | 2020-08-12 |
| 1700411519 | Brooke Anna Novia | Physical Therapist | 103 N Main St Ste 201, Greenville, SC 29601-2756 | 2020-03-12 |
| 1164068979 | Madison Nichole Larimer | Physical Therapist | 535 W Butler Rd Ste A, Greenville, SC 29607-4833 | 2019-11-27 |
| 1932744117 | Melanie Amber Book | Physical Therapist | 4211 Joe Ramsey Blvd E Ste 216, Greenville, TX 75401-7848 | 2019-11-12 |
| 1780239020 | Willis Physical Therapy Group Pllc | Physical Therapist | 3800 Joe Ramsey Blvd E Ste B, Greenville, TX 75401-7778 | 2019-08-05 |
| 1346801107 | Rachel Jane Larson | Physical Therapist | 1007 Grove Rd Ste C, Greenville, SC 29605-4630 | 2019-06-24 |
| 1932762291 | Theron Ross Livingston | Physical Therapist | 27 S Pleasantburg Dr Ste 130, Greenville, SC 29607-2577 | 2019-04-22 |
| 1558835959 | Rebecca Collins Kelly | Physical Therapist | 1014 Wade Hampton Blvd Ste 6, Greenville, SC 29609-5061 | 2019-01-18 |
| 1356816748 | Cassie Morgan Ringstaff | Physical Therapist | 200 Patewood Dr # C250, Greenville, SC 29615-3593 | 2018-10-11 |
| 1598249468 | Brian Egge | Physical Therapist | 823 S Church St Apt 1232, Greenville, SC 29601-4742 | 2018-09-18 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29605 |
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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.