MR. ROBERT L. CLARK PT
NPI 1376627885
Physical Therapist in Petaluma, CA

NPI Status: Active since October 24, 2006

Contact Information

169 LYNCH CREEK WAY
PETALUMA, CA
ZIP 94954
Phone: (707) 763-0115
Fax: (707) 763-2130

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Physical Therapist

About ROBERT CLARK

This page provides the complete NPI Profile along with additional information for Robert Clark, a provider established in Petaluma, California with a medical specialization in Physical Therapist. The healthcare provider is registered in the NPI registry with number 1376627885 assigned on October 2006. The practitioner's primary taxonomy code is 225100000X with license number P.T. 10768 (CA). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI: 1376627885
Provider Name: MR. ROBERT L. CLARK PT
Gender: Male
Entity Type: Individual
Location Address: 169 LYNCH CREEK WAY PETALUMA, CA 94954
Location Phone: (707) 763-0115
Location Fax: (707) 763-2130
Mailing Address: 538 ACADIA DR PETALUMA, CA 94954
Mailing Phone: (707) 778-2388
Mailing Fax: (707) 763-2130
Is Sole Proprietor?: No
Enumeration Date: 10-24-2006
Last Update Date: 07-08-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapist

Taxonomy Code

225100000X

Type

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

License No.

P.T. 10768

License State

Taxonomy Description

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:

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.

PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
OPT 107680	MEDICARE ID-TYPE UNSPECIFIED (04)	CA

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	3	7	6	6	2	7	8	8	5
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	3	14	6	12	2	14	8	16
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 4 + 6 + 1 + 2 + 2 + 1 + 4 + 8 + 1 + 6 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 5									5

The NPI number 1376627885 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.