Gregory Ray Clark, P.T.
NPI 1184758229ActiveIndividual· Physical Therapist· Shawnee, OK
Physical Therapist (P.T.) in Shawnee, Oklahoma, licensed in OK, with an NPI issued in March 2007.
Overview
| NPI | 1184758229 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.T. |
| Sole proprietor | Yes |
| NPI issued | Mar 14, 2007 |
| Last updated in NPPES | Oct 10, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 2604 | OK |
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 Physical Therapist providers in Shawnee
- 1902103112
- 1245765536
- 1588605000
- 1043025836
- 1548694995
- 1871084863
- 1831579291
- 1982047049
- 1851521710
- 1548814817
- 1174262646
- 1487960225