JOHN REYNOLDS CLARK DPT
NPI 1962051946
Physical Therapist in Hattiesburg, MS

NPI Status: Active since September 11, 2019

Contact Information

103 MEDICAL PARK
HATTIESBURG, MS
ZIP 39401
Phone: (601) 268-5757
Fax: (601) 579-5220

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NPPES record last updated: July 17, 2020. Verified against the NPPES registry weekly; last sync: July 12, 2026.

Record update history: Jul 17, 2020, Sep 11, 2019 (2 updates tracked since 2019).

  • Individual
  • Male
  • Physical Therapist

About JOHN CLARK

This page provides the complete NPI Profile along with additional information for John Clark, a provider established in Hattiesburg, Mississippi with a medical specialization in Physical Therapist. The healthcare provider is registered in the NPI registry with number 1962051946 assigned on September 2019. The practitioner's primary taxonomy code is 225100000X. The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1962051946
Provider Name
JOHN REYNOLDS CLARK DPT
Gender
Male
Entity Type
Individual
Location Address
103 MEDICAL PARK HATTIESBURG, MS 39401
Location Phone
(601) 268-5757
Location Fax
(601) 579-5220
Mailing Address
415 S 28TH AVE HATTIESBURG, MS 39401
Mailing Phone
(601) 268-5757
Mailing Fax
(601) 579-5240
Is Sole Proprietor?
No
Enumeration Date
09-11-2019
Last Update Date
07-17-2020
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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

Physical Therapist

Taxonomy Code
225100000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License State
MS
Taxonomy Description
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • 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.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

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
03702392MEDICAID (05)MS 

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NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1962051946, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
2
Unchanged
Pos 5
0
Doubled → 0
Pos 6
5
Unchanged
Pos 7
1
Doubled → 2
Pos 8
9
Unchanged
Pos 9
4
Doubled → 8
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 0 → 0 1 → 2 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 2 + 2 + 0 + 5 + 2 + 9 + 8 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1962051946.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Physical Therapist
103 MEDICAL PARK
HATTIESBURG, MS 39401
Orthopaedic Surgery
103 MEDICAL PARK
HATTIESBURG, MS 39401
Orthopaedic Surgery
103 MEDICAL PARK
HATTIESBURG, MS 39401
Physical Therapist
103 MEDICAL PARK
HATTIESBURG, MS 39401
Physical Therapist
103 MEDICAL PARK
HATTIESBURG, MS 39401
Physical Therapist
103 MEDICAL PARK
HATTIESBURG, MS 39401
Occupational Therapist
103 MEDICAL PARK
HATTIESBURG, MS 39401
Specialist/Technologist (Athletic Trainer)
103 MEDICAL PARK
HATTIESBURG, MS 39401
Specialist/Technologist (Athletic Trainer)
103 MEDICAL PARK
HATTIESBURG, MS 39401
Specialist/Technologist (Athletic Trainer)
103 MEDICAL PARK
HATTIESBURG, MS 39401
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
103 MEDICAL PARK
HATTIESBURG, MS 39401
Family Medicine (Sports Medicine)
103 MEDICAL PARK
HATTIESBURG, MS 39401
Physical Therapist
103 MEDICAL PARK
HATTIESBURG, MS 39401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962051946, enumerated as an "individual" on September 11, 2019.

The provider is located at 103 MEDICAL PARK HATTIESBURG, MS 39401 and the phone number is (601) 268-5757.

Physical Therapist with taxonomy code 225100000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.