MR. KEVIN JOHN CLARK LCPO
NPI 1790115004
Orthotist in Seattle, WA
- Individual
- Male
- Orthotist
About KEVIN CLARK
This page provides the complete NPI Profile along with additional information for Kevin Clark, a provider established in Seattle, Washington with a medical specialization in Orthotist. The healthcare provider is registered in the NPI registry with number 1790115004 assigned on November 2013. The practitioner's primary taxonomy code is 222Z00000X with license number 01 60414623 (WA). The provider is registered as an individual and his NPI record was last updated 13 years ago.
- NPI
- 1790115004 Verify this NPI
- Provider Name
- MR. KEVIN JOHN CLARK LCPO
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 411 12TH AVE SUITE 200 SEATTLE, WA 98122
- Location Phone
- (206) 328-4276
- Location Fax
- (206) 328-1037
- Mailing Address
- 411 12TH AVE SUITE 200 SEATTLE, WA 98122
- Mailing Phone
- (206) 328-4276
- Mailing Fax
- (206) 328-1037
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-22-2013
- Last Update Date
- 11-22-2013
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Orthotist
- Taxonomy Code
- 222Z00000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 01 60414623
- License State
- WA
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 224P00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Prosthetist | PS 60414610 (WA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9015561 | MEDICAID (05) | WA |
Reviews for MR. KEVIN JOHN CLARK LCPO
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Other Providers at the Same Location
The following 14 providers are registered at the same or a nearby location.
SEATTLE, WA 98122
SEATTLE, WA 98122
SEATTLE, WA 98122
SEATTLE, WA 98122
SEATTLE, WA 98122
SEATTLE, WA 98122
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790115004, enumerated as an "individual" on November 22, 2013.
The provider is located at 411 12TH AVE SUITE 200 SEATTLE, WA 98122 and the phone number is (206) 328-4276.
Orthotist with taxonomy code 222Z00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
