1. Home
  2. Directory
  3. New York
  4. Webster
  5. Physical Therapist
  6. NPI Profile

JAMIE ALBERT CLARK PT
NPI 1265962617
Physical Therapist - Sports in Webster, NY

Active since June 19, 2017Accepts Medicare Assignment
2115 EMPIRE BLVD, WEBSTER, NY 14580(585) 267-9547 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jul 13, 2017 and 2 more (5 updates tracked since 2017).

About Jamie Albert Clark Pt NPPES

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

JAMIE ALBERT CLARK PT (NPI 1265962617) is an individual sports provider in Webster, New York, licensed in New York (024340) and active in the NPI registry since June 2017. He maintains a secondary practice location in Rochester and is a graduate of Other (2002).

NPPES Registry Identity

NPI1265962617
Entity TypeIndividualMale
Primary Taxonomy2251S0007X
Provider Legal NameJAMIE ALBERT CLARKCredential: PT
Location Address2115 EMPIRE BLVDWebster, NY 14580-1907
Mailing Address68 Princeton LnFairport, NY 14450-9027 · (585) 267-9547
Phone(585) 267-9547
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateJune 19, 2017
Last NPPES UpdateJuly 21, 20225 updates tracked since enumeration
✔ NPI 1265962617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · SportsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251S0007X
License✔ Licensed in NY · 024340
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.
2115 EMPIRE BLVD, Webster, NY 14580
Open in Google Maps ↗

Secondary Practice Location 1

Location 11671 Penfield Rd Ste 6Rochester, NY 14625-2568 · Phone (585) 267-9547

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jamie Albert Clark Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971858994
PECOS Enrollment IDI20180629001167

Medicare Billing Reassignment

Medicare enrollment records show Jamie Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clark Physical Therapy, P.C.
Same address
Physical Therapy
2115 EMPIRE BLVD
Webster, NY 14580
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Clark Physical Therapy PC
  • 2 clinicians in this Medicare group
NPI 1124542170 (585) 267-9547

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DRISCOLL CHIROPRACTIC PLLC
Clinic/Center
2115 EMPIRE BLVD
WEBSTER, NY 14580
Monroe County (585) 672-3870
CLARK PHYSICAL THERAPY, P.C.
Clinic/Center (Physical Therapy)
2115 EMPIRE BLVD
WEBSTER, NY 14580
Monroe County (585) 267-9547
MARY MARGARET MOSES GIANGRECO LMHC
Counselor (Mental Health)
2115 EMPIRE BLVD
WEBSTER, NY 14580
Monroe County (585) 326-0886
GARY L GIANGRECO DDC PC
Dentist (Oral and Maxillofacial Surgery)
2115 EMPIRE BLVD
WEBSTER, NY 14580
Monroe County (585) 671-4522
GARYLGIANGRECOPC
Clinic/Center (Dental)
2115 EMPIRE BLVD
WEBSTER, NY 14580
Monroe County (585) 671-4522
PRIYA JANGBARI DDS
Dentist
2115 EMPIRE BLVD
WEBSTER, NY 14580
Monroe County (585) 671-4522
GINA MARIE GIANGRECO DDS
Dentist
2115 EMPIRE BLVD
WEBSTER, NY 14580
Monroe County (585) 671-4522

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 Jamie Clark's NPI number?

The NPI number for Jamie Clark is 1265962617. It was assigned to this individual provider in the NPPES registry on June 19, 2017.

Where is Jamie Clark located?

Jamie Clark practices at 2115 Empire Blvd, Webster, NY 14580. The listed phone number is (585) 267-9547.

What is Jamie Clark's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

Is Jamie Clark enrolled in Medicare?

Yes. Jamie Clark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jamie Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jamie Clark reassigns Medicare benefits to Clark Physical Therapy, P.C. (Webster, NY). The 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 Jamie 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 Jamie Clark was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.