James Butch Clark, PT
Physical Therapist in The Villages, FL. Individual provider (NPI-1).
NPI number1609005107
StatusActive
Last updated in NPPESSep 12, 2022
Details
- NPI
- 1609005107
- Entity type
- Individual (NPI-1)
- Name
- Mr. James Butch Clark
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 7, 2009
- Certification date
- Jul 5, 2022
- Last updated
- Sep 12, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 38587 | FL | Yes |
| 225100000X | Physical Therapist | PT3159 | AR |
Practice location
1050 Old Camp Rd Suite 282The Villages, FL 32162
Phone 417-576-3998
Mailing address
11962 County Rd 101Suite 104
The Villages, FL 32162
Phone 352-254-3368
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.
Other Physical Therapist providers in The Villages, FL
- Achieve Wellness And Physical TherapyNPI 1528803426
- Advanced Physical Therapy Of Central FloridaNPI 1104345891
- Advanced Physical Therapy Of Central FloridaNPI 1699211649
- Advanced Physical Therapy Of Central Florida, INC.NPI 1306239967
- Dick Gojo Cruz Andal, PTNPI 1518134501
- Suzanne Marie Backstrom, PTNPI 1528149077
- William Lake Bandy, DPTNPI 1023739927
- Kelley Barth, PTNPI 1659683787
- Derek David Benthusen, PT,DPT,ATCNPI 1023542479
- Kathryn Boyer, DPTNPI 1760830665
All 49 Physical Therapist providers in The Villages · All 1,406 providers in The Villages
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.