Jessica Clark, L.A.T., A.T.C.
NPI 1174940571ActiveIndividual· Specialist/Technologist, Athletic Trainer· Pottstown, PA
Specialist/Technologist, Athletic Trainer (L.A.T., A.T.C.) in Pottstown, Pennsylvania, licensed in PA, with an NPI issued in March 2014.
Overview
| NPI | 1174940571 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | L.A.T., A.T.C. |
| Sole proprietor | Yes |
| NPI issued | Mar 24, 2014 |
| Last updated in NPPES | Mar 24, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist/Technologist, Athletic Trainer Primary | 2255A2300X | RT004952 | PA |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other athletic trainers in Pottstown
- 1700303674
- 1639209794
- 1285924027
- 1710264163
- 1609319110
- 1689537151
- 1417885062
- 1801207162
- 1184035479
- 1881313021
- 1730405978
- 1184136269
All 17 athletic trainers in Pottstown · All athletic trainers in Pennsylvania