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Ikea Zorie Alexandra Clark, DPT, PT

Physical Therapist in Roseville, CA. Individual provider (NPI-1).

NPI number1013707553
StatusActive
Last updated in NPPESMay 8, 2025

Details

NPI
1013707553
Entity type
Individual (NPI-1)
Name
Ikea Zorie Alexandra Clark
Credential
DPT, PT
Sex
Female
Sole proprietor
No
Enumeration date
May 8, 2025
Certification date
May 8, 2025
Last updated
May 8, 2025

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist307979CAYes

Practice location

151 N Sunrise Ave
Roseville, CA 95661-2924

Phone 916-720-2067

Mailing address

1710 V St Apt 11
Sacramento, CA 95818-1638

Phone 919-352-5159

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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