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Active NPI 1346511094 Individual Practitioner Male Practitioner

Peter James Clark , ATC, AT-L, CSCS, MA

Specialist/Technologist - Athletic Trainer • Spokane, WA

Professional Overview & Biography Verified Profile Summary

Peter Clark, ATC, AT-L, CSCS, MA is a registered healthcare professional specializing in Specialist/Technologist - Athletic Trainer in Spokane, WA. Practice services are available at 502 E BOONE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

502 E Boone Ave
Ad Box 66

Spokane, WA 992581774

Telephone 5093135591
Fax 5093135789
Associated Practice Facility / Clinic
🏢 Therapeutic Associates Inc Facility NPI 1912456054

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Athletic Trainer in Spokane, WA

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

Practicing in Spokane, 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

Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

State License WA A160047423

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.

Practice Associates & Co-Workers

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

12 Associated Practitioners
Dr. Paul Hastings , PhD

Psychologist - Clinical

NPI 1124093497

Doctor of Philosophy (Ph.D.)

Carissa Basile

Behavior Analyst

NPI 1144793423
Brooke Brown

Student in an Organized Health Care Education/Training Program

NPI 1275397820
Kendall Smitley , ATC

Specialist/Technologist - Athletic Trainer

NPI 1336768928

Certified Athletic Trainer

Joshua Therrien

Specialist/Technologist - Athletic Trainer

NPI 1356883748
Keegan Matchett , MSN, APRN, FNP-C

Nurse Practitioner - Family

NPI 1376337113

Master of Science in Nursing, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 25, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location January 25, 2012

Registered at 502 E BOONE AVE, AD BOX 66, SPOKANE, WA 992581774 (Tel: 5093135591)

📍
Updated Business Mailing Address January 25, 2012

Registered at 502 E BOONE AVE, AD BOX 66, SPOKANE, WA 992581774 (Tel: 5093135591)

👤
Provider Name / Credentials Updated January 25, 2012

Recorded as PETER CLARK, ATC, AT-L, CSCS, MA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 25, 2012

Specialist/Technologist (License #A160047423 in WA)

🟢
Initial NPI Registration & Enumeration January 25, 2012

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: 1346511094
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 25, 2012
Last Update: January 25, 2012
Sole Proprietor: Yes

Mailing Address

502 E Boone Ave, Ad Box 66

Spokane, WA 992581774

Phone: 5093135591

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.