Susanna Clark, PT, DPT, OCS
NPI 1366713521ActiveIndividual· Physical Therapist· Lone Tree, CO
Physical Therapist (PT, DPT, OCS) with Lone Peak Physical Therapy Inc, practicing in Lone Tree, Colorado. Medicare paid $8,518 for services to 18 patients in 2024.
Overview
| NPI | 1366713521 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT, OCS |
| Sole proprietor | Yes |
| NPI issued | Jan 19, 2012 |
| Last updated in NPPES | Jun 25, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PTL0013866 | CO |
| Physical Therapist | 225100000X | PT010027 | GA |
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 (MT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 18 |
|---|---|
| Services billed | 428 across 10 procedure codes |
| Paid by Medicare | $8,518 |
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Lone Peak Physical Therapy IncBillings, MT · 42 clinicians
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