1. Home
  2. Directory
  3. Washington
  4. Seattle
  5. Orthotist
  6. NPI Profile

MR. KEVIN JOHN CLARK LCPO
NPI 1790115004
Orthotist in Seattle, WA

Active since November 22, 2013
411 12TH AVE, SUITE 200, SEATTLE, WA 98122(206) 328-4276(206) 328-1037 Get Directions Write a Review

NPPES record last updated: November 22, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Kevin John Clark Lcpo NPPES

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

MR. KEVIN JOHN CLARK LCPO (NPI 1790115004) is an individual orthotist provider in Seattle, Washington, licensed in Washington (01 60414623) and active in the NPI registry since November 2013.

NPPES Registry Identity

NPI1790115004
Entity TypeIndividualMale
Primary Taxonomy222Z00000X
Provider Legal NameMR. KEVIN JOHN CLARKCredential: LCPO
Location Address411 12TH AVE, SUITE 200Seattle, WA 98122-5599
Mailing Address411 12th Ave, Suite 200Seattle, WA 98122-5599 · (206) 328-4276 · Fax (206) 328-1037
Phone(206) 328-4276
Fax(206) 328-1037
Sole ProprietorNo
Enumeration DateNovember 22, 2013
✔ NPI 1790115004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthotistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code222Z00000X
License✔ Licensed in WA · 01 60414623
Definition
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
Also ListedProsthetistTaxonomy 224P00000X · License PS 60414610 (WA)
411 12TH AVE, Seattle, WA 98122
Open in Google Maps ↗

Other Identifiers 1

Medicaid9015561WA

Other Providers at the Same Location NPPES 14

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

MR. GREGORY T FERGUSON CP
Specialist (Prosthetics Case Management)
411 12TH AVE, SUITE 200
SEATTLE, WA 98122
King County (206) 328-4276
CENTER FOR PROSTHETICS ORTHOTICS, INC.
Prosthetic/Orthotic Supplier
411 12TH AVE
SEATTLE, WA 98122
King County (206) 328-4276
MS. SHARON J LEE LCPO
Orthotist
411 12TH AVE, SUITE 200
SEATTLE, WA 98122
King County (206) 328-4276
MRS. JULIE LUND SCHAAR ORTHOTIST
Specialist (Prosthetics Case Management)
411 12TH AVE, SUITE 200
SEATTLE, WA 98122
King County (206) 328-4276
ALAN R. BREEN, PHD, PLLC
Clinical Neuropsychologist
411 12TH AVE, STE 305
SEATTLE, WA 98122
King County (206) 860-0860
CHRISTINA MINH CP, LP
Prosthetist
411 12TH AVE, SUITE 200
SEATTLE, WA 98122
King County (206) 328-4276
CENTER FOR PROSTHETICS ORTHOTICS, INC.
Specialist (Prosthetics Case Management)
411 12TH AVE
SEATTLE, WA 98122
King County (206) 328-4276
MR. DOUGLAS L. PINKLEY L.P.O., C.P.O.
Specialist (Prosthetics Case Management)
411 12TH AVE
SEATTLE, WA 98122
King County (206) 328-4276

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 Kevin Clark's NPI number?

The NPI number for Kevin Clark is 1790115004. It was assigned to this individual provider in the NPPES registry on November 22, 2013.

Where is Kevin Clark located?

Kevin Clark practices at 411 12th Ave Suite 200, Seattle, WA 98122. The listed phone number is (206) 328-4276.

What is Kevin Clark's specialty?

The primary specialty registered for this NPI is Orthotist with taxonomy code 222Z00000X.

When was this NPI record last updated?

The NPPES record for Kevin Clark was last updated on November 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.