MISS HEATHER LACEY CLARK DPT
NPI 1538538350
Physical Therapist in Lebanon, KY

Active since September 22, 2015
703 E MAIN ST UNIT 1, LEBANON, KY 40033(270) 699-9503(270) 699-3804 Get Directions Write a Review

NPPES record last updated: May 8, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 8, 2018, Feb 8, 2016 (2 updates tracked since 2016).

About Miss Heather Lacey Clark Dpt NPPES

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

MISS HEATHER LACEY CLARK DPT (NPI 1538538350) is an individual physical therapist in Lebanon, Kentucky, licensed in Kentucky (006757) and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1538538350
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameMISS HEATHER LACEY CLARKCredential: DPT
Location Address703 E MAIN ST UNIT 1Lebanon, KY 40033-8696
Mailing Address703 E Main St Unit 1Lebanon, KY 40033-8696 · (270) 699-9503 · Fax (270) 699-3804
Fax(270) 699-3804
Sole ProprietorNo
Enumeration DateSeptember 22, 2015
Last NPPES UpdateMay 8, 20182 updates tracked since enumeration
✔ NPI 1538538350 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 · 006757
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.
703 E MAIN ST UNIT 1, Lebanon, KY 40033

Other Names 1

Former Name (1)Heather Lacey Thomas

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Heather Lacey Clark Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Heather Clark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Occupational Therapist
1009 N 3RD ST
Bardstown, KY 40004
  • Reassigned Medicare billing, Kentucky enrollment
  • 3 clinicians in this Medicare group
Rehabilitation
2618 RING RD STE 110
Elizabethtown, KY 42701
  • Reassigned Medicare billing, Kentucky enrollment
  • 221 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.

Other Providers at the Same Location NPPES 5

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

Physical Therapist
703 E MAIN ST UNIT 1
LEBANON, KY 40033
Physical Therapist
703 E MAIN ST UNIT 1
LEBANON, KY 40033
Physical Therapist
703 E MAIN ST UNIT 1
LEBANON, KY 40033
Physical Therapist
703 E MAIN ST UNIT 1
LEBANON, KY 40033
Clinic/Center (Physical Therapy)
703 E MAIN ST UNIT 1
LEBANON, KY 40033

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 Heather Clark's NPI number?

The NPI number for Heather Clark is 1538538350. It was assigned to this individual provider in the NPPES registry on September 22, 2015. The provider is also known as Heather Lacey Thomas.

Where is Heather Clark located?

Heather Clark practices at 703 E Main St Unit 1, Lebanon, KY 40033. The listed phone number is (270) 699-9503.

What is Heather Clark's specialty?

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

Is Heather Clark enrolled in Medicare?

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

Which organizations bill Medicare for Heather Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Clark reassigns Medicare benefits to 2 organizations: Belleza Rehab & Hand Therapy LLC (Bardstown, KY) and Sn Kentuckiana Rehab, LLC (Elizabethtown, KY). Each 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 Heather Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heather Clark accept?

Health plans from CareSource list Heather Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Heather Clark was last updated on May 8, 2018. 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.