Susan L. Clark, ASSOCIATES DEGREE
NPI 1023313640ActiveIndividual· Physical Therapy Assistant· Grand Rapids, MI
Physical Therapy Assistant (ASSOCIATES DEGREE) in Grand Rapids, Michigan, licensed in MI, with an NPI issued in January 2011.
Overview
| NPI | 1023313640 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | ASSOCIATES DEGREE |
| Sole proprietor | No |
| NPI issued | Jan 12, 2011 |
| Last updated in NPPES | Jan 12, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | 5502000487 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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