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Sherry Clark, PTA

NPI 1275131344ActiveIndividual· Physical Therapy Assistant· Conyers, GA

Physical Therapy Assistant (PTA) in Conyers, Georgia, licensed in GA, with an NPI issued in October 2020.

Overview

NPI1275131344
StatusActive
Entity typeIndividual
CredentialPTA
Sole proprietorNo
NPI issuedOct 12, 2020
Last updated in NPPESOct 12, 2020
Certified by providerOct 12, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary225200000XPTA004524GA
Physical Medicine & Rehabilitation208100000XPTA004524GA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Physical Therapy Assistant providers in Conyers

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