Patricia Susan Clark, DPT
Physical Therapist · Griffin
- Medicare standing
- 1 flag on the record
- Listed below.
- Plans that list them
- Not verified
- Not the same as out of network.
- Office
- 1
On the public record
- Medicare does not list them as allowed to order and refer
Offices
1 location
Plan participation
Not verified
We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Patricia Susan Clark’s office at (770) 233-0350 to ask if they take your plan before you enroll.
California Medical Board record
Licence C38938 · Cancelled
Licence status: Cancelled · since 1979 · Mahidol University Siriraj Hospital Faculty of Medicine.
License has been voluntarily canceled, or the license has been expired for at least five years and has not been renewed. No practice is permitted.
Matched on the licence number without its letter prefix; check the name before relying on it.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
State licence records
1 licence
- Colorado PTL.18065PTL · since 2021 · expires 2028-10-31ActiveNo board action on this licenceCheck it with the stateWhat they told the state about themselves
We check Colorado, Delaware, Florida, Illinois, Maryland, New Jersey, New York, Tennessee, Texas, Virginia, Washington, plus California above. A state that is not in this list has not been checked, which is not the same as clear.
Professional record
- NPI
- 1861153710
- Licence
- CA 38938, CO PTL.0018065, GA CP014731T, WA CP010044TCalifornia C38938: CancelledColorado PTL.18065: Active
More record details
- Sole proprietor
- No
- Taxonomy
- Federal specialty code 225100000X (225100000X)
- Mailing address
- 6397 Lee Hwy Ste 300, Chattanooga, TN, 37421
- NPI first listed
- 2022-01-03
- NPI last updated
- 2022-08-24
- NPI record certified
- 2022-08-24
This is when the NPI record was last certified, not a medical board exam.
Extra NPI addresses: 240 2nd St, Los Altos, CA, 94022