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TANISHA TIANA CLARK
NPI 1871095935
Specialist/Technologist - Athletic Trainer in Wallingford, CT

Active since March 05, 2018
333 CHRISTIAN ST, WALLINGFORD, CT 06492(203) 697-2983 Get Directions Write a Review

NPPES record last updated: February 15, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 15, 2021, Mar 5, 2018 (2 updates tracked since 2018).

About Tanisha Tiana Clark NPPES

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

TANISHA TIANA CLARK (NPI 1871095935) is an individual athletic trainer provider in Wallingford, Connecticut, licensed in Connecticut (54.001470) and active in the NPI registry since March 2018. She maintains a secondary practice location in New London.

NPPES Registry Identity

NPI1871095935
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameTANISHA TIANA CLARK
Location Address333 CHRISTIAN STWallingford, CT 06492-3818
Mailing Address333 Christian StWallingford, CT 06492-3818
Phone(203) 697-2983
Sole ProprietorYes
Enumeration DateMarch 5, 2018
Last NPPES UpdateFebruary 15, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 15, 2021
✔ NPI 1871095935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in CT · 54.001470
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
333 CHRISTIAN ST, Wallingford, CT 06492
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Secondary Practice Location 1

Location 1541 Main StNew London, NH 03257-7818 · Phone (603) 526-3400

Other Providers at the Same Location NPPES 6

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

BRIAN EDWARD HOLLOWAY JR. ATC
Specialist/Technologist (Athletic Trainer)
333 CHRISTIAN ST
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 697-2425
EMILY PINDAR ATC
Specialist/Technologist (Athletic Trainer)
333 CHRISTIAN ST
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 697-2983
MR. MATTHEW BRIAN PENDLETON MED., ATC
Specialist/Technologist (Athletic Trainer)
333 CHRISTIAN ST, SPORTS MEDICINE DEPARTMENT
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 697-2441
MR. ANTHONY CHRISTOPHER VIGNOLA ATC
Specialist/Technologist (Athletic Trainer)
333 CHRISTIAN ST
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 697-2000
MARGARIDA C CLOUET APRN
Nurse Practitioner (Family)
333 CHRISTIAN ST
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 697-2203
BRITTANY POST
Specialist/Technologist (Athletic Trainer)
333 CHRISTIAN ST
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 697-2000

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 Tanisha Clark's NPI number?

The NPI number for Tanisha Clark is 1871095935. It was assigned to this individual provider in the NPPES registry on March 5, 2018.

Where is Tanisha Clark located?

Tanisha Clark practices at 333 Christian St, Wallingford, CT 06492. The listed phone number is (203) 697-2983.

What is Tanisha Clark's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Tanisha Clark was last updated on February 15, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.