Nicole Ginette Clark (NPI# 1821055724, PAC ID# 5193877819) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1821055724 |
| PAC ID by PECOS | 5193877819 |
| Professional Enrollment ID | I20090710000082 |
| Full Name | Nicole Ginette Clark |
| Organization Legal Name | SPORTS AND ORTHOPEDIC THERAPY SERVICES LLC |
| Address |
10605 Concord St Suite 105 Kensington MD 20895-2500 |
| Phone Number | 3019899040 |
| Gender | F |
| Graduation Year | 2003 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 9133179005 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 10605 Concord St, Suite 105, Kensington, MD 20895-2500 | 3019899040 | SPORTS AND ORTHOPEDIC THERAPY SERVICES LLC |
| Organization Legal Name | SPORTS AND ORTHOPEDIC THERAPY SERVICES LLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Josephine Egan | Physical Therapy | Sports and Orthopedic Therapy Services LLC | 10605 Concord St, Suite 105, Kensington, MD 20895-2500 |
| Kristie H Lee | Physical Therapy | Sports and Orthopedic Therapy Services LLC | 10605 Concord St, Suite 105, Kensington, MD 20895-2500 |
| Seema M Marshall | Physical Therapy | Sports and Orthopedic Therapy Services LLC | 10605 Concord St, Suite 105, Kensington, MD 20895-2500 |
| Marwan A Kublawi | Physical Therapy | Sports and Orthopedic Therapy Services LLC | 10605 Concord St, Suite 105, Kensington, MD 20895-2500 |
| Karim A Wassef | Physical Therapy | Sports and Orthopedic Therapy Services LLC | 10605 Concord St, Suite 105, Kensington, MD 20895-2500 |
| Margaret Z Treseler | Physical Therapy | Sports and Orthopedic Therapy Services LLC | 10605 Concord St, Suite 105, Kensington, MD 20895-2500 |
| Street Address |
10605 CONCORD ST SUITE 105 |
| City | KENSINGTON |
| State | MD |
| Zip | 20895-2500 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aruna S Nathan | Internal Medicine | 10605 Concord St, Suite 302, Kensington, MD 20895-2504 | |
| Sheila Amon | Chiropractic | 10605 Concord St, Suite 502, Kensington, MD 20895-2519 | |
| Angela M Moore | Clinical Social Worker | 10605 Concord St, Suite 100, Kensington, MD 20895-2500 | |
| Lisa B Lee | Nurse Practitioner | Menon Medical Center LLC | 10605 Concord St, Suite 300, Kensington, MD 20895-2532 |
| Josephine Egan | Physical Therapy | Sports and Orthopedic Therapy Services LLC | 10605 Concord St, Suite 105, Kensington, MD 20895-2500 |
| Patricia Guay-berry | Registered Dietitian Or Nutrition Professional | Menon Medical Center LLC | 10605 Concord St, Suite 300, Kensington, MD 20895-2532 |
| Roji Menon | Internal Medicine | Menon Medical Center LLC | 10605 Concord St, Suite 300, Kensington, MD 20895-2532 |
| Kristie H Lee | Physical Therapy | Sports and Orthopedic Therapy Services LLC | 10605 Concord St, Suite 105, Kensington, MD 20895-2500 |
| Seema M Marshall | Physical Therapy | Sports and Orthopedic Therapy Services LLC | 10605 Concord St, Suite 105, Kensington, MD 20895-2500 |
| Marwan A Kublawi | Physical Therapy | Sports and Orthopedic Therapy Services LLC | 10605 Concord St, Suite 105, Kensington, MD 20895-2500 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barbra R Johnson | Optometry | 5268 -d Nicholson Ln, Kensington, MD 20895-1010 | |
| Ruth S Reynolds | Psychologist, Clinical | 5321 Bangor Dr, Kensington, MD 20895-1106 | |
| Robert Franc Scuka | Clinical Social Worker | 3914 Kincaid Ter, Kensington, MD 20895-1519 | |
| Christine M Chambers | Podiatry | 3800 Lawrence Ave, Kensington, MD 20895-1533 | |
| Allison Ruth Ayers | Physical Therapy | Bethesda Physical Therapy | 10901 Connecticut Ave, Suite 201, Kensington, MD 20895-1645 |
| Adam K Spector | Podiatry | Foot and Ankle Specialists of The Mid Atlantic LLC | 10901 Conn Ave, Suite 200, Kensington, MD 20895-1645 |
| Gene S Mirkin | Podiatry | Foot and Ankle Specialists of The Mid Atlantic LLC | 10901 Conn Ave, Suite 200, Kensington, MD 20895-1645 |
| Sarwat Waqar Siddiqui | Pathology | Foot and Ankle Specialists of The Mid Atlantic LLC | 10901 Conn Ave, Suite 200, Kensington, MD 20895-1645 |
| Hetal Kathrotiya Mago | Podiatry | Foot and Ankle Specialists of The Mid Atlantic LLC | 10901 Conn Ave, Suite 200, Kensington, MD 20895-1645 |
| Howard G Osterman | Podiatry | Foot and Ankle Specialists of The Mid Atlantic LLC | 10901 Conn Ave, Suite 200, Kensington, MD 20895-1645 |
| Find all physicians in zip 20895 | |||
| City | KENSINGTON |
| Zip Code | 20895 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | KENSINGTON + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Nicole Ginette 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.