Kenneth John Clark Jr., DPT
NPI 1144740580ActiveIndividual· Physical Therapist· Saint Petersburg, FL
Physical Therapist (DPT) with Purpose Physical Therapy and Wellness LLC, practicing in Saint Petersburg, Florida. Medicare paid $8,858 for services to 13 patients in 2024.
Overview
| NPI | 1144740580 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | No |
| NPI issued | Jun 27, 2017 |
| Last updated in NPPES | Feb 3, 2022 |
| Certified by provider | Feb 3, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT32691 | FL |
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 (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 13 |
|---|---|
| Services billed | 420 across 8 procedure codes |
| Paid by Medicare | $8,858 |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Purpose Physical Therapy and Wellness LLCSt Petersburg, FL · 4 clinicians
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