JESSICA LYNN CLARK PT
NPI 1063757003
Physical Therapist in Jefferson City, MO
About Jessica Lynn Clark Pt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA LYNN CLARK PT (NPI 1063757003) is an individual physical therapist in Jefferson City, Missouri, licensed in Missouri (2012027636) and active in the NPI registry since December 2012.
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- 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.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jessica Lynn Clark Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Jessica Clark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jefferson City, MO 65101
- Reassigned Medicare billing, Missouri enrollment
- 12 clinicians in this Medicare group
Columbia, MO 65201
- Reassigned Medicare billing, Missouri enrollment
- 80 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JEFFERSON CITY, MO 65101
JEFFERSON CITY, MO 65101
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 Jessica Clark's NPI number?
The NPI number for Jessica Clark is 1063757003. It was assigned to this individual provider in the NPPES registry on December 3, 2012.
Where is Jessica Clark located?
Jessica Clark practices at 1705 Christy Dr Suite 200, Jefferson City, MO 65101. The listed phone number is (573) 659-5515.
What is Jessica Clark's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Jessica Clark enrolled in Medicare?
Yes. Jessica Clark is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jessica Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Clark reassigns Medicare benefits to 2 organizations: Outbound Rehabilitation & Wellness LLC (Jefferson City, MO) and Central Missouri Physical Therapy LLC (Columbia, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jessica Clark was last updated on December 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.