RYAN ALEXANDER CLARK DPT
NPI 1396467874
Physical Therapist in Owensboro, KY

Active since September 13, 2022
3415 NEW HARTFORD RD UNIT 2, OWENSBORO, KY 42303(270) 684-7856 Get Directions Write a Review

NPPES record last updated: November 25, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ryan Alexander Clark Dpt NPPES

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

RYAN ALEXANDER CLARK DPT (NPI 1396467874) is an individual physical therapist in Owensboro, Kentucky, licensed in Kentucky (008666) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1396467874
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameRYAN ALEXANDER CLARKCredential: DPT
Location Address3415 NEW HARTFORD RD UNIT 2Owensboro, KY 42303-2055
Mailing Address3414 New Hartford Rd Ste 2Owensboro, KY 42303-1705 · (270) 684-7856
Sole ProprietorNo
Enumeration DateSeptember 13, 2022
Last NPPES UpdateNovember 25, 2024
NPPES CertifiedNovember 25, 2024
✔ NPI 1396467874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in KY · 008666
Definition
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.
3415 NEW HARTFORD RD UNIT 2, Owensboro, KY 42303

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ryan Alexander Clark Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Physical Therapy
3415 NEW HARTFORD RD
Owensboro, KY 42303
  • Reassigned Medicare billing, Kentucky enrollment
  • 70 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.

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 Ryan Clark's NPI number?

The NPI number for Ryan Clark is 1396467874. It was assigned to this individual provider in the NPPES registry on September 13, 2022.

Where is Ryan Clark located?

Ryan Clark practices at 3415 New Hartford Rd Unit 2, Owensboro, KY 42303. The listed phone number is (270) 684-7856.

What is Ryan Clark's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Ryan Clark enrolled in Medicare?

Yes. Ryan Clark is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ryan Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Clark reassigns Medicare benefits to Kentucky Orthopedic Rehabilitation LLC (Owensboro, KY). 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 Ryan 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 Ryan Clark was last updated on November 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.