Mark Clark, PHYSICAL THERAPIST

InactiveIndividual ProviderPhysical Therapy
NPI issued: July 24, 2006

Quick Facts

NPI Number
1912929720
TypeIndividual
StatusInactive
SpecialtyPhysical Therapy
Taxonomy225100000X — Physical Therapy
Phone
(502) 222-2615
StateKY

NPI Validation Status: Deactivated

✅Valid 10-digit NPI number (1912929720)
❌Active status: Deactivated / Inactive
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (July 24, 2006)
Data source: CMS NPPES

Provider Overview

MARK CLARK, PHYSICAL THERAPIST is a Physical Therapy provider based in Lagrange, KY who has been registered with CMS since 2006. This NPI is currently Deactivated under CMS NPPES registry.

Provider Details

NPI Number1912929720
Provider TypeIndividual Provider
GenderMale
CredentialPHYSICAL THERAPIST
StatusInactive
Enumeration DateJuly 24, 2006

Practice Location

CityLagrange
StateKY
ZIP Code40031-9600
Phone(502) 222-2615

Specialties & Licenses

★ Primary
SpecialtyPhysical Therapy
Taxonomy Code225100000X
License StateKY

Mailing Address

CityLagrange
StateKY
ZIP Code40031-9600
Phone(502) 222-2615
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1912929720 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1912929720for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1912929720 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Physical Therapy

Specialists in Physical Therapy provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

Browse all Physical Therapyproviders →
📊
287,077
Physical Therapy Providers in the US

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People Also Ask

What is Mark Clark's NPI number?
Mark Clark's NPI number is 1912929720, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Mark Clark's NPI currently active?
No, Mark Clark's NPI status is Inactive as of the latest CMS NPPES database updates.
What does Mark Clark specialize in?
Mark Clark specializes in Physical Therapy. The healthcare taxonomy code associated with this specialty is 225100000X.
Where does Mark Clark practice?
Mark Clark practices in Lagrange, KY 40031-9600.
When was Mark Clark's NPI issued?
Mark Clark's NPI was issued on July 24, 2006.
What is Mark Clark's provider type?
Mark Clark is registered as an Individual Provider under CMS NPI Type 1.