Adam Thomas Clark, PT, DPT, OCS, COMT
NPI 1083138473ActiveIndividual· Physical Therapist, Orthopedic· Grand Rapids, MI
Physical Therapist, Orthopedic (PT, DPT, OCS, COMT) in Grand Rapids, Michigan, licensed in MI and KY, with an NPI issued in July 2017. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1083138473 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT, OCS, COMT |
| Sole proprietor | No |
| NPI issued | Jul 27, 2017 |
| Last updated in NPPES | Oct 25, 2022 |
| Certified by provider | Oct 25, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist, Orthopedic Primary | 2251X0800X | 5501018297 | MI |
| Physical Therapist | 225100000X | 007201 | KY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (MI) |
|---|
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