Paul A Clark (NPI# 1235540931, PAC ID# 4082830310) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1235540931 |
| PAC ID by PECOS | 4082830310 |
| Professional Enrollment ID | I20190422001025 |
| Full Name | Paul A Clark |
| Organization Legal Name | MAXIMUM IMPACT PHYSICAL THERAPY SERVICES LLC |
| Address |
8270 S Houghton Rd Suite 180 Tucson AZ 85747-9717 |
| Phone Number | 5206641430 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 2163455767 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 13395 N Marana Main St, Marana, AZ 85653-7008 | 5206829645 | ATHLETICO LTD |
| 8270 S Houghton Rd, Suite 180, Tucson, AZ 85747-9717 | 5206641430 | MAXIMUM IMPACT PHYSICAL THERAPY SERVICES LLC |
| 8270 S Houghton Rd, Suite 180, Tucson, AZ 85747-9717 | ATHLETICO LTD |
| Organization Legal Name | MAXIMUM IMPACT PHYSICAL THERAPY SERVICES LLC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marek G Koziel | Physical Therapy | Maximum Impact Physical Therapy Services LLC | 6970 N Oracle Rd, Suite 130, Tucson, AZ 85704-4237 |
| Benjamin William O'dell | Physical Therapy | Maximum Impact Physical Therapy Services LLC | 1686 W Valencia Rd, Suite 100, Tucson, AZ 85746-6065 |
| Zachary C Hines | Physical Therapy | Maximum Impact Physical Therapy Services LLC | 1590 W Commerce Ct, Maximum Impact Physical Therapy, Tucson, AZ 85746-6015 |
| Kathryn M Dektor | Physical Therapy | Maximum Impact Physical Therapy Services LLC | 1686 W Valencia Rd, Suite 100, Tucson, AZ 85746-6065 |
| Jamil A Loman | Physical Therapy | Maximum Impact Physical Therapy Services LLC | 1686 W Valencia Rd, Suite 100, Tucson, AZ 85746-6065 |
| Nathan K Tenney | Physical Therapy | Maximum Impact Physical Therapy Services LLC | 13395 N Marana Main St, Marana, AZ 85653-7008 |
| Derek Ernst Eckert | Physical Therapy | Maximum Impact Physical Therapy Services LLC | 1686 W Valencia Rd, Suite 100, Tucson, AZ 85746-6065 |
| James Gilbert Oetter | Physical Therapy | Maximum Impact Physical Therapy Services LLC | 1686 W Valencia Rd, Suite 100, Tucson, AZ 85746-6065 |
| Kayla F Rystrom | Physical Therapy | Maximum Impact Physical Therapy Services LLC | 6970 N Oracle Rd, Suite 130, Tucson, AZ 85704-4237 |
| Vanessa M Morton | Physical Therapy | Maximum Impact Physical Therapy Services LLC | 13395 N Marana Main St, Marana, AZ 85653-7008 |
| Street Address |
8270 S HOUGHTON RD SUITE 180 |
| City | TUCSON |
| State | AZ |
| Zip | 85747-9717 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebekah L Nilson | Physical Therapy | Maximum Impact Physical Therapy Services LLC | 8270 S Houghton Rd, Tucson, AZ 85747-9717 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James G Liston | Optometry | 8140 S Houghton Rd, Suite 140, Tucson, AZ 85747-4708 | |
| Dana T Staggs | Chiropractic | 8140 S Houghton Rd, 130 Staggs Chiropractic, Tucson, AZ 85747-4708 | |
| Robert W Brooks | Optometry | 8140 S Houghton Rd, Tucson, AZ 85747-4708 | |
| Brett Barney | Oral Surgery | 8265 S Houghton Rd, Suite 101, Tucson, AZ 85747-5766 | |
| Dena M Omar | Clinical Social Worker | 10501 E Seven Generations Way, Suite 121, Tucson, AZ 85747-5828 | |
| Robert Zonfrelli | Clinical Social Worker | 10501 E Seven Generations Way, Suite 121, Tucson, AZ 85747-5828 | |
| Salley A Wallin | Clinical Social Worker | 10501 E Seven Generations Way, Suite 205, Tucson, AZ 85747-5828 | |
| Paula Ann Roze | Clinical Social Worker | 10501 E Seven Generations Way, Suite 121, Tucson, AZ 85747-5828 | |
| Cassandra M Gorman | Clinical Social Worker | 10501 E Seven Generations Way, Suite 121, Tucson, AZ 85747-5828 | |
| Joy Kwakuyi | Nurse Practitioner | 10573 E Oakbrook St, Tucson, AZ 85747-5966 | |
| Find all physicians in zip 85747 | |||
| City | TUCSON |
| Zip Code | 85747 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | TUCSON + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Paul A Clark.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.