ELIZABETH CLARK PT, DPT
NPI 1922508613
Physical Therapist in Benton, AR
About Elizabeth Clark Pt, Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELIZABETH CLARK PT, DPT (NPI 1922508613) is an individual physical therapist in Benton, Arkansas, licensed in Maryland (28857) and active in the NPI registry since February 2018. She maintains a secondary practice location in Bryant.
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)
Elizabeth Clark Pt, Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Elizabeth Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Chevy Chase, MD 20815
- Reassigned Medicare billing, District of Columbia enrollment
- 177 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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BENTON, AR 72015
BENTON, AR 72015
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 Elizabeth Clark's NPI number?
The NPI number for Elizabeth Clark is 1922508613. It was assigned to this individual provider in the NPPES registry on February 19, 2018.
Where is Elizabeth Clark located?
Elizabeth Clark practices at 1306 Military Rd Ste 1, Benton, AR 72015. The listed phone number is (501) 481-8930.
What is Elizabeth Clark's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Elizabeth Clark enrolled in Medicare?
Yes. Elizabeth Clark is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Elizabeth Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Clark reassigns Medicare benefits to Maryland Luna Care Physical Therapy LLC (Chevy Chase, MD). The 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 Elizabeth 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 Elizabeth Clark was last updated on October 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.