STACY MARIE CLARK PT
NPI 1578863007
Physical Therapist in Matthews, NC

Active since November 01, 2010Accepts Medicare Assignment
2030 WINDSOR RUN LN, MATTHEWS, NC 28105(980) 375-6558 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Stacy Marie Clark Pt NPPES

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

STACY MARIE CLARK PT (NPI 1578863007) is an individual physical therapist in Matthews, North Carolina, licensed in North Carolina (12908) and active in the NPI registry since November 2010. She is a graduate of Other (2010).

NPPES Registry Identity

NPI1578863007
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameSTACY MARIE CLARKCredential: PT
Location Address2030 WINDSOR RUN LNMatthews, NC 28105-0054
Mailing Address8026 Weddington Downs DrMatthews, NC 28104-0400 · (864) 642-5398
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateNovember 1, 2010
Last NPPES UpdateFebruary 23, 2026
NPPES CertifiedFebruary 23, 2026
✔ NPI 1578863007 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 NC · 12908
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.
2030 WINDSOR RUN LN, Matthews, NC 28105

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

Stacy Marie 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 ID7719169903
PECOS Enrollment IDI20110309000456

Medicare Billing Reassignment

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

Physical Therapist
2147 DAVIE AVE
Statesville, NC 28625
  • Reassigned Medicare billing, North Carolina enrollment
  • 125 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

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

Podiatrist (Primary Podiatric Medicine)
2030 WINDSOR RUN LN
MATTHEWS, NC 28105
Social Worker (Clinical)
2030 WINDSOR RUN LN
MATTHEWS, NC 28105
Occupational Therapist
2030 WINDSOR RUN LN
MATTHEWS, NC 28105
Social Worker (Clinical)
2030 WINDSOR RUN LN
MATTHEWS, NC 28105
Nurse Practitioner (Adult Health)
2030 WINDSOR RUN LN
MATTHEWS, NC 28105
Internal Medicine
2030 WINDSOR RUN LN
MATTHEWS, NC 28105
Podiatrist
2030 WINDSOR RUN LN
MATTHEWS, NC 28105
Speech-Language Pathologist
2030 WINDSOR RUN LN
MATTHEWS, NC 28105

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 Stacy Clark's NPI number?

The NPI number for Stacy Clark is 1578863007. It was assigned to this individual provider in the NPPES registry on November 1, 2010.

Where is Stacy Clark located?

Stacy Clark practices at 2030 Windsor Run Ln, Matthews, NC 28105. The listed phone number is (980) 375-6558.

What is Stacy Clark's specialty?

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

Is Stacy Clark enrolled in Medicare?

Yes. Stacy 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 Stacy Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Clark reassigns Medicare benefits to Comprehensive Therapeutics Ltd (Statesville, NC). 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 Stacy 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 Stacy Clark was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.