RUSSELL DERRICK CLARK DPT
NPI 1639530686
Physical Therapist in Greenville, SC
About Russell Derrick Clark Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RUSSELL DERRICK CLARK DPT (NPI 1639530686) is an individual physical therapist in Greenville, South Carolina, licensed in South Carolina (8087) and active in the NPI registry since March 2016. He is a graduate of Other (2015).
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, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Russell Derrick Clark Dpt 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29605 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Russell Clark's NPI number?
The NPI number for Russell Clark is 1639530686. It was assigned to this individual provider in the NPPES registry on March 17, 2016.
Where is Russell Clark located?
Russell Clark practices at 1011 Grove Rd Ste 2A, Greenville, SC 29605. The listed phone number is (864) 233-5128.
What is Russell Clark's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Russell Clark enrolled in Medicare?
Yes. Russell 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.
When was this NPI record last updated?
The NPPES record for Russell Clark was last updated on March 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.