Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clark Physical Therapy, PC

Organization Sports Physical Therapist · NPI 1124542170

Clark Physical Therapy, PC is a Sports Physical Therapist in Webster, New York. Licensed in New York. Registered with an NPI since 2017.

Licensed in
NY
In the registry since
2017
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2115 Empire Blvd
Webster, NY 14580-1907
Phone: (585) 267-9547
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X · Licence 024340 (NY)
Sports Physical Therapist Taxonomy 2251S0007X · Licence 024340 (NY)

Record details

NPI number1124542170
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jamie Clark — Owner · (585) 267-9547
NPI enumeratedAugust 1, 2017
Last updated in NPPESNovember 10, 2017
Mailing address68 Princeton Ln, Fairport, NY 14450-9027

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