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AMANDA CLARK DPT
NPI 1679011738
Physical Therapist - Pediatrics in Coralville, IA

Active since February 08, 2017
2451 CORAL CT STE 1, CORALVILLE, IA 52241(319) 853-0596 Get Directions Write a Review

NPPES record last updated: February 8, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amanda Clark Dpt NPPES

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

AMANDA CLARK DPT (NPI 1679011738) is an individual pediatrics provider in Coralville, Iowa, licensed in Iowa (085170) and active in the NPI registry since February 2017.

NPPES Registry Identity

NPI1679011738
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameAMANDA CLARKCredential: DPT
Location Address2451 CORAL CT STE 1Coralville, IA 52241-2837
Mailing Address2451 Coral Ct Ste 1Coralville, IA 52241-2837 · (319) 853-0596
Phone(319) 853-0596
Sole ProprietorNo
Enumeration DateFebruary 8, 2017
✔ NPI 1679011738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License✔ Licensed in IA · 085170
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
2451 CORAL CT STE 1, Coralville, IA 52241
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Other Providers at the Same Location NPPES 3

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

CALLI KAHL OTR/L
Occupational Therapist
2451 CORAL CT STE 1
CORALVILLE, IA 52241
Johnson County (319) 853-0596
JENNA MCKNIGHT CCC-SLP
Speech-Language Pathologist
2451 CORAL CT STE 1
CORALVILLE, IA 52241
Johnson County (319) 853-0596
ALISON ROACH MA, CCC-SLP
Speech-Language Pathologist
2451 CORAL CT STE 1
CORALVILLE, IA 52241
Johnson County (319) 853-0596

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 Amanda Clark's NPI number?

The NPI number for Amanda Clark is 1679011738. It was assigned to this individual provider in the NPPES registry on February 8, 2017.

Where is Amanda Clark located?

Amanda Clark practices at 2451 Coral Ct Ste 1, Coralville, IA 52241. The listed phone number is (319) 853-0596.

What is Amanda Clark's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for Amanda Clark was last updated on February 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.