Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1528626959 Individual Practitioner Male Practitioner

Ryan Steven Clark , LAT, ATC

Specialist/Technologist - Athletic Trainer • Joint Base Lewis Mcchord, WA

Professional Overview & Biography Verified Profile Summary

Ryan Clark, LAT, ATC is a registered healthcare professional specializing in Specialist/Technologist - Athletic Trainer in Joint Base Lewis Mcchord, WA. Practice services are available at 9040A JACKSON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9040a Jackson Ave

Joint Base Lewis Mcchord, WA 984310001

Telephone 2088195174

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Athletic Trainer in Joint Base Lewis Mcchord, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
19 Specialists

Practicing in Joint Base Lewis Mcchord, WA (828 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: 2022-07-28
Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

State License WA A161295706

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

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

40 Associated Practitioners
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Doctor of Pharmacy (Pharm.D.)

Dr. Travon Johnson , PsyD

Psychologist - Clinical

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Doctor of Psychology (Psy.D.)

Patrick Hogg , COTA

Occupational Therapy Assistant

NPI 1023859758

Certified Occupational Therapy Assistant

NPI 1043832090

Doctor of Pharmacy (Pharm.D.)

Dr. Surya Singh , DO

Internal Medicine - Rheumatology

NPI 1063035798

Doctor of Osteopathic Medicine (D.O.)

NPI 1073965851

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location July 29, 2022

Registered at 9040A JACKSON AVE, JOINT BASE LEWIS MCCHORD, WA 984310001 (Tel: 2088195174)

📍
Updated Business Mailing Address July 29, 2022

Registered at 5410 N 45TH ST, TACOMA, WA 984073724 (Tel: 2088195174)

👤
Provider Name / Credentials Updated July 29, 2022

Recorded as RYAN CLARK, LAT, ATC

NPI Profile Active May 31, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location May 31, 2019

Registered at 212 FARM ROAD, #201, MOSCOW, ID 83843 (Tel: 2088195174)

📍
Updated Business Mailing Address May 31, 2019

Registered at 212 FARM ROAD, #201, MOSCOW, ID 83843 (Tel: 2088195174)

👤
Provider Name / Credentials Updated May 31, 2019

Recorded as RYAN CLARK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 31, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 31, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1528626959
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 31, 2019
Last Update: July 29, 2022
Sole Proprietor: No

Mailing Address

5410 N 45th St

Tacoma, WA 984073724

Phone: 2088195174

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.