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Deactivated NPI 1518151513 Deactivated / Inactive NPI Male Practitioner

John M Clark , RPT

Physical Therapist • Wagoner, OK

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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, John Clark has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 02, 2007
NPI Deactivation Date January 28, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

John Clark, RPT was a registered Physical Therapist practicing in Wagoner, OK. Throughout an active medical career spanning 15 years, John Clark provided care at the practice location at 1202 SE 6TH ST until profile deactivation on 2022-01-28.

Practice Location & Contact Primary Location

Practice Address

1202 Se 6th St

Wagoner, OK 744676316

Telephone 9184854779

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Wagoner, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.7 Yrs
State Avg: 13.9 Yrs
Regional Practice Density
8 Specialists

Practicing in Wagoner, OK (2341 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

Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License OK 727

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.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated January 28, 2022

Record deactivated on January 28, 2022

NPI Profile Active September 02, 2007

NPI status registered as active in NPPES database

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Updated Practice Location September 02, 2007

Registered at 1202 SE 6TH ST, WAGONER, OK 744676316 (Tel: 9184854779)

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Updated Business Mailing Address September 02, 2007

Registered at 1202 SE 6TH ST, WAGONER, OK 744676316 (Tel: 9184854779)

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Provider Name / Credentials Updated September 02, 2007

Recorded as JOHN CLARK, RPT

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 02, 2007

Physical Therapist (License #727 in OK)

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Initial NPI Registration & Enumeration September 02, 2007

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: 1518151513
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 02, 2007
Last Update: September 02, 2007
Deactivation Date: January 28, 2022

Mailing Address

1202 Se 6th St

Wagoner, OK 744676316

Phone: 9184854779

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.