Kelly L. Clark, PTA
NPI 1053417907ActiveIndividual· Physical Therapy Assistant· Conway, AR
Physical Therapy Assistant (PTA) in Conway, Arkansas, licensed in AR, with an NPI issued in September 2006.
Overview
| NPI | 1053417907 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PTA |
| Sole proprietor | Yes |
| NPI issued | Sep 16, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | 2010 | AR |
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 |
|---|
Other Physical Therapy Assistant providers in Conway
- 1033784749
- 1770604761
- 1154428456
- 1750487500
- 1902948276
- 1346804762
- 1417520503
- 1588344147
- 1619898145
- 1487753539
- 1215036363
- 1750821625