Jessica Granger Clark
NPI 1942864582ActiveIndividual· Physical Therapist· Ruston, LA
Physical Therapist with Jackson Parish Therapy Center, LLC, practicing in Ruston, Louisiana. Medicare paid $61,755 for services to 90 patients in 2024.
Overview
| NPI | 1942864582 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Apr 29, 2019 |
| Last updated in NPPES | Mar 25, 2025 |
| Certified by provider | Mar 25, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 9612 | SC |
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 (AR); Practitioner - Physical Therapist in Private Practice (LA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 90 |
|---|---|
| Services billed | 3,454 across 11 procedure codes |
| Paid by Medicare | $61,755 |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Jackson Parish Therapy Center, LLCBastrop, LA · 27 clinicians
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