PATRICIA SUSAN CLARK DPT
NPI 1861153710
Physical Therapist in Griffin, GA
About Patricia Susan Clark Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PATRICIA SUSAN CLARK DPT (NPI 1861153710) is an individual physical therapist in Griffin, Georgia, licensed in Georgia (CP014731T) and active in the NPI registry since January 2022. She maintains a secondary practice location in Los Altos.
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.
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Patricia Susan Clark Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Patricia Clark reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Peachtree City, GA 30269
- Reassigned Medicare billing, Georgia enrollment
- Medicare enrollment name: Independent Physical Therapy Of Georgia, LLC
- 1,061 clinicians in this Medicare group
Stockbridge, GA 30281
- Reassigned Medicare billing, Georgia enrollment
- 788 clinicians in this Medicare group
Loganville, GA 30052
- Reassigned Medicare billing, Georgia enrollment
- 207 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRIFFIN, GA 30223
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 Patricia Clark's NPI number?
The NPI number for Patricia Clark is 1861153710. It was assigned to this individual provider in the NPPES registry on January 3, 2022.
Where is Patricia Clark located?
Patricia Clark practices at 1438 Highway 16 W Ste C, Griffin, GA 30223. The listed phone number is (770) 233-0350.
What is Patricia Clark's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Patricia Clark enrolled in Medicare?
Yes. Patricia Clark is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Patricia Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Patricia Clark reassigns Medicare benefits to 3 organizations: Independent Physical Therapy Of Ga, LLC (Peachtree City, GA), Benchmark Physical Therapy, Inc (Stockbridge, GA) and Drayer Physical Therapy Georgia LLC (Loganville, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Patricia Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Patricia Clark was last updated on August 24, 2022. 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.