PAMELA R. CLACK P.T.
NPI 1053476929
Physical Therapist - Pediatrics in Monroe, GA

Active since December 22, 2006
703 KINGS RDG, MONROE, GA 30655(770) 207-5788(770) 207-5708 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pamela R. Clack P.t. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAMELA R. CLACK P.T. (NPI 1053476929) is an individual pediatrics provider in Monroe, Georgia, licensed in Georgia (001415) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1053476929
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NamePAMELA R. CLACKCredential: P.T.
Location Address703 KINGS RDGMonroe, GA 30655-2051
Mailing Address1500 Launius RdGood Hope, GA 30641-2637 · (706) 752-0779 · Fax (706) 752-1596
Fax(770) 207-5708
Sole ProprietorNo
Enumeration DateDecember 22, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1053476929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License Licensed in GA · 001415
Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.

703 KINGS RDG, Monroe, GA 30655

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pamela Clack's NPI number?

The NPI number for Pamela Clack is 1053476929. It was assigned to this individual provider in the NPPES registry on December 22, 2006.

Where is Pamela Clack located?

Pamela Clack practices at 703 Kings Rdg, Monroe, GA 30655. The listed phone number is (770) 207-5788.

What is Pamela Clack's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for Pamela Clack was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.