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