Krista Jean Clark, P.T.
NPI 1114935301ActiveIndividual· Physical Therapist· Midway, UT
Physical Therapist (P.T.) in Midway, Utah, licensed in UT, with an NPI issued in August 2006. Medicare paid $54,854 for services to 47 patients in 2024.
Overview
| NPI | 1114935301 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.T. |
| Sole proprietor | Yes |
| NPI issued | Aug 3, 2006 |
| Last updated in NPPES | Mar 17, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 116187-2401 | UT |
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 (UT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 47 |
|---|---|
| Services billed | 3,101 across 15 procedure codes |
| Paid by Medicare | $54,854 |
Education and affiliations
| Graduation year | 1984 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Other physical therapists in Midway
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