MR. THOMAS COLIN CLARK (NPI# 1972649499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972649499 |
| Entity Type | Individual |
| Full Name | MR. THOMAS COLIN CLARK |
| Credential | PT |
| Practice Address |
7111 E 21st St N Ste 103 Wichita KS 67206 |
| Mailing Address |
200 W Douglas Ave Ste 1040 Wichita KS 67202-3017 |
| Practice Telephone | 3162691311 |
| Practice Fax Number | 3162691588 |
| Mailing Telephone | 3162630003 |
| Mailing Fax Number | 3162631241 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2019-01-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
11-01967 | KS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9727 E Shannon Woods Cir, Suite 160, Wichita, KS 672264102 | 3166810824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669096020 | Thomas Edward Clark | Optometrist | 3672 W South Jordan Pkwy Ste 103, South Jordan, UT 84009-7172 | 2020-06-02 |
| 1861053811 | Thomas J Clark | Massage Therapist | 16615 North Rd Unit B, Bothell, WA 98012-5983 | 2019-06-20 |
| 1922417005 | Thomas Boyle Clark IIi | Pathology | 3619 Pacific Ave, Tacoma, WA 98418-7921 | 2014-08-04 |
| 1053558205 | Thomas Edward Clark | Student in an Organized Health Care Education/Training Program | 980 Western Avenue, Albany, NY 12202 | 2009-01-09 |
| 1255593273 | Thomas James Clark | Licensed Practical Nurse | 8703 Shear Dr, Powell, OH 43065-8835 | 2008-06-30 |
| 1508044181 | Thomas B Clark | Chiropractor | 2092 Casa De Vereda, Vista, CA 92084-4223 | 2008-02-05 |
| 1306061502 | Thomas Lyon Clark | Psychologist | 1515 Payne St, Tallahassee, FL 32303-5796 | 2007-04-16 |
| 1487877213 | Thomas R Clark | Chiropractor | 2418 W 9th Ave, Amarillo, TX 79106-6620 | 2007-04-10 |
| 1023157153 | Thomas Clark | Dentist | 4402 Airline Dr, Houston, TX 77022-2934 | 2007-02-05 |
| 1720133671 | Thomas David Clark | Optometrist | 1401 N Green River Rd, Evansville, IN 47715-2428 | 2007-01-23 |
| Street Address |
7111 E 21ST ST N STE 103 |
| City | WICHITA |
| State | KS |
| Zip Code | 67206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558985358 | Adam A May | Physical Therapist | 7111 E 21st St N Ste 103, Wichita, KS 67206-1090 | 2020-06-08 |
| 1912521139 | Dylan J Reimer | Physical Therapist | 7111 E 21st St N Ste 103, Wichita, KS 67206-1090 | 2020-06-03 |
| 1447805296 | Caleb A Wolters | Physical Therapist | 7111 E 21st St N Ste 103, Wichita, KS 67206-1090 | 2019-08-08 |
| 1225517295 | Colin Donner | Physical Therapist | 7111 E 21st St N Ste 103, Wichita, KS 67206-1090 | 2018-08-10 |
| 1366932071 | Jeremy A Milford | Physical Therapist | 7111 E 21st St N Ste 103, Wichita, KS 67206-1090 | 2018-05-17 |
| 1811439219 | Lauren Michelle Cahn | Physical Therapy Assistant | 7111 E 21st St N Ste 103, Wichita, KS 67206 | 2016-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760020846 | Founders Surgery Center, LLC | Clinic/Center | 1961 N Founders Circle, Wichita, KS 67206 | 2019-12-19 |
| 1174006613 | Courtney Dawn Simon | Physical Therapist | 9360 E Central Ave Ste 100, Wichita, KS 67206 | 2018-09-11 |
| 1902308919 | Center At Waterfront LLC | Skilled Nursing Facility | 1541 North Lindberg Circle, Wichita, KS 67206 | 2018-03-06 |
| 1750804597 | Katelyn Aguiar | Psychologist | 250 N Rock Rd Ste 210, Wichita, KS 67206 | 2017-07-24 |
| 1457888778 | Mona Kay Cherryholmes | Social Worker | 1223 N. Rock Rd, Bldg A. Suite 100, Wichita, KS 67206 | 2017-05-17 |
| 1164899415 | Elizabeth Herl | Marriage & Family Therapist | 250 N Rock Rd Ste 150, Wichita, KS 67206 | 2015-08-21 |
| 1851715510 | Ndjj Corp | Custodial Care Facility | 6403 E Marjore, Wichita, KS 67206 | 2014-02-14 |
| 1801238217 | Courtney Ann Lang | Physical Therapist | 1603 North Chapel Hill Street, Suite 400, Wichita, KS 67206 | 2013-07-26 |
| 1194063032 | Peak Performance Health Pa | Chiropractor | 10111 E 21st St, #106, Wichita, KS 67206 | 2013-01-28 |
| 1750629002 | Rachel Marie Conrad | Speech-Language Pathologist | 1861 N. Rock Rd, Ste 101, Wichita, KS 67206 | 2013-01-22 |
| Find all providers in zip 67206 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548567399 | Hy Vong A Ha | Physical Therapist | 1931 S Market St, Wichita, KS 67211-4114 | 2011-02-14 |
| 1740463991 | Kim Michelle Yearout | Physical Therapist | 9727 Shannon Woods, Wichita, KS 67226-4102 | 2007-12-11 |
| 1316093610 | Nancy Diane Woodruff | Physical Therapist | 834 N Socora St Ste 1, Wichita, KS 67212-3279 | 2007-01-27 |
| 1972655454 | Melissa Dawn Warders | Physical Therapist | 3725 W 13th St N, Wichita, KS 67203-4403 | 2007-01-17 |
| 1467891036 | Rachel Leanne Schmidt | Physical Therapist | 10100 E Shannon Woods St, Wichita, KS 67226-4103 | 2013-06-17 |
| 1659676088 | Essential Core Physical Therapy, Inc. | Physical Therapist | 716 N 119th St W, Wichita, KS 67235-1938 | 2011-01-15 |
| 1174853121 | Bryan Jason Lehecka | Physical Therapist | 854 N Socora St, Wichita, KS 67212-3288 | 2010-01-13 |
| 1528221926 | Polly Holcomb | Physical Therapist | 2020 N Webb Rd, Suite 104, Wichita, KS 67206-3407 | 2008-07-07 |
| 1942346192 | Macaela Lee Hild | Physical Therapist | 9727 E Shannon Woods Cir, Suite 160, Wichita, KS 67226-4102 | 2007-01-29 |
| 1255486262 | Dana Lynn Hayworth | Physical Therapist | 9727 E Shannon Woods Cir, Wichita, KS 67226-4102 | 2007-01-23 |
| Find all providers in WICHITA | ||||
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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.