Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1912929720 Deactivated / Inactive NPI Male Practitioner

Mark Allen Clark , PHYSICAL THERAPIST

Physical Therapist • Lagrange, KY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Mark Clark has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 24, 2006
NPI Deactivation Date May 17, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Mark Clark, PHYSICAL THERAPIST was a registered Physical Therapist practicing in Lagrange, KY. Throughout an active medical career spanning 16 years, Mark Clark provided care at the practice location at 5201 ARROWSHIRE DR until profile deactivation on 2022-05-17.

Practice Location & Contact Primary Location

Practice Address

5201 Arrowshire Dr

Lagrange, KY 400319600

Telephone 5022222615
Fax 5022222617
Associated Practice Facility / Clinic
🏢 At Home Rehab Alliance, Inc Facility NPI 1023110590

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Lagrange, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.0 Yrs
State Avg: 14.6 Yrs
Regional Practice Density
5 Specialists

Practicing in Lagrange, KY (3267 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-05-31
Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License KY 001751

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 1356552475

PHYSICALTHERAPIST

Career & Practice History Timeline

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

8 Historical Events
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NPI Profile Reactivated May 31, 2022

Record officially reactivated for active practice on May 31, 2022

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NPI Profile Deactivated May 17, 2022

Record deactivated on May 17, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 5201 ARROWSHIRE DR, LAGRANGE, KY 400319600 (Tel: 5022222615)

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Updated Business Mailing Address July 08, 2007

Registered at 5201 ARROWSHIRE DR, LAGRANGE, KY 400319600 (Tel: 5022222615)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MARK CLARK, PHYSICAL THERAPIST

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physical Therapist (License #001751 in KY)

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Initial NPI Registration & Enumeration July 24, 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: 1912929720
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 24, 2006
Last Update: May 31, 2022
Deactivation Date: May 17, 2022
Sole Proprietor: Yes

Mailing Address

5201 Arrowshire Dr

Lagrange, KY 400319600

Phone: 5022222615

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.