Zachary Alexander Clark, PT, DPT, LMT
NPI 1790169225ActiveIndividual· Physical Therapist· Sparks, NV
Physical Therapist (PT, DPT, LMT) with Moreland Physical Therapy Prof. Corp., practicing in Sparks, Nevada. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1790169225 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT, LMT |
| Sole proprietor | No |
| NPI issued | Jul 14, 2015 |
| Last updated in NPPES | Jul 21, 2026 |
| Certified by provider | Jul 21, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 4575 | NV |
| Massage Therapist | 225700000X | NVMT.9396 | NV |
| Massage Therapist | 225700000X | MAT-13654 | HI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (NV) |
|---|
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Moreland Physical Therapy Prof. Corp.Sparks, NV · 6 clinicians
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