Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093722902 Individual Practitioner Male Practitioner

Charles Kevin Clark , PT

Physical Therapist • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Charles Clark, PT is a registered healthcare professional specializing in Physical Therapist in Phoenix, AZ. Practice services are available at 10214 N TATUM BLVD under active NPI credentials.

Frequently performed procedures and clinical services include therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each, therapy procedure using manual technique, each, evaluation of physical therapy. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

10214 N Tatum Blvd
Suite B-500

Phoenix, AZ 850284224

Telephone 4802646326
Fax 4802646328
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.8 Yrs
State Avg: 16.3 Yrs
Regional Practice Density
1050 Specialists

Practicing in Phoenix, AZ (5415 Statewide)

Telehealth Adoption Rate
1.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
25.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
260 12 $41.00 $26.52
97140 Therapy procedure using manual technique, each 15 minutes
156 12 $38.00 $22.62
97161 Evaluation of physical therapy, typically 20 minutes
13 13 $98.00 $82.17

Medical Specialties & State Licenses

Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License AZ 5471

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1992713952

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address September 09, 2019

Registered at 10214 N TATUM BLVD, STE B500, PHOENIX, AZ 850284224 (Tel: 4802365360)

NPI Profile Active November 13, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location November 13, 2008

Registered at 10214 N TATUM BLVD, SUITE B-500, PHOENIX, AZ 850284224 (Tel: 4802646326)

📍
Updated Business Mailing Address November 13, 2008

Registered at 4436 E MOUNTAIN VIEW RD, PHOENIX, AZ 850285216 (Tel: 4802365360)

👤
Provider Name / Credentials Updated November 13, 2008

Recorded as CHARLES CLARK, P.T.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 13, 2008

Physical Therapist (License #5471 in AZ)

🟢
Initial NPI Registration & Enumeration August 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093722902
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 02, 2006
Last Update: September 09, 2019
Sole Proprietor: Yes

Mailing Address

10214 N Tatum Blvd, Ste B500

Phoenix, AZ 850284224

Phone: 4802365360

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.