MRS. CORRINE ANNE CLARK PT
NPI 1679770465
Physical Therapist - Orthopedic in San Marcos, CA

Q: What is Corrine Clark's NPI number?

The NPI number for Corrine Clark is 1679770465. It was assigned to this individual provider in the NPPES registry on June 27, 2007.

Q: What is Corrine Clark's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Q: When was this NPI record last updated?

The NPPES record for Corrine Clark was last updated on December 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 27, 2007Accepts Medicare Assignment

400 CRAVEN RD, SAN MARCOS, CA 92078(760) 510-5659 Get Directions Write a Review

NPPES record last updated: December 2, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mrs. Corrine Anne Clark Pt NPPES

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

MRS. CORRINE ANNE CLARK PT (NPI 1679770465) is an individual orthopedic provider in San Marcos, California, licensed in California (PT21058) and active in the NPI registry since June 2007. She is a graduate of Other (1995).

NPPES Registry Identity

NPI1679770465

Entity TypeIndividualFemale

Primary Taxonomy2251X0800X

Provider Legal NameMRS. CORRINE ANNE CLARKCredential: PT

Location Address400 CRAVEN RDSan Marcos, CA 92078-4201

Mailing Address1351 Felicita LnEscondido, CA 92029-6631 · (760) 489-2666

Phone(760) 510-5659

Sole ProprietorYes

Medical School CMSOtherGraduated 1995

Enumeration DateJune 27, 2007

Last NPPES UpdateDecember 2, 2021

NPPES CertifiedDecember 2, 2021

✔ NPI 1679770465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251X0800X

License✔ Licensed in CA · PT21058

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

400 CRAVEN RD, San Marcos, CA 92078

Open in Google Maps ↗

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

Mrs. Corrine Anne 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 ID6406984483

PECOS Enrollment IDI20100512000737

Other Providers at the Same Location NPPES 20

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

MRS. LAURIE JUNE STEINECKE PT

Physical Therapist (Orthopedic)