CLARK PHYSICAL THERAPY, P.C.
NPI 1124542170
Clinic/Center - Physical Therapy in Webster, NY
About Clark Physical Therapy, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLARK PHYSICAL THERAPY, P.C. (NPI 1124542170) is a healthcare organization registered as a physical therapy in Webster, New York and active in the NPI registry since August 2017. The organization lists Jamie Clark, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Clark Physical Therapy, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Clark Physical Therapy, P.C., which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Clark Physical Therapy, P.C.'s NPI number?
The NPI number for Clark Physical Therapy, P.C. is 1124542170. It was assigned to this organization in the NPPES registry on August 1, 2017.
Where is Clark Physical Therapy, P.C. located?
Clark Physical Therapy, P.C. is located at 2115 Empire Blvd, Webster, NY 14580. The listed phone number is (585) 267-9547.
What is Clark Physical Therapy, P.C.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is Clark Physical Therapy, P.C. enrolled in Medicare?
Yes. Clark Physical Therapy, P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Clark Physical Therapy, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Clark Physical Therapy, P.C.. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Clark Physical Therapy, P.C. was last updated on November 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Clark Physical Therapy, P.c. · NPI 1124542170
Physical Therapy organization in Webster, New York. Organization record, active in the CMS NPPES registry since August 1, 2017.
## Identity
- **NPI:** 1124542170 (Entity type: Organization)
- **Enumerated:** August 1, 2017
- **Primary specialty:** Clinic/Center - Physical Therapy · taxonomy 261QP2000X
- **Organization subpart:** No
- **Authorized official:** Jamie Clark, OWNER
## Practice location
- **Address:** 2115 EMPIRE BLVD, Webster, NY 14580-1907
- **Phone:** (585) 267-9547
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Physical Therapist in Private Practice) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 10, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1124542170) · Data from the CMS NPPES public registry.