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

Charles S Clark, PT

Individual provider Physical Therapist · NPI 1043293681

Charles S Clark, PT is a Physical Therapist in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2005.

Licensed in
AZ
In the registry since
2005
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

5777 E Mayo Blvd
Phoenix, AZ 85054-4502
Phone: (480) 301-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 591 (AZ)

Record details

NPI number1043293681
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedNovember 29, 2005
Last updated in NPPESMarch 21, 2011
Mailing address5777 E Mayo Blvd, Phoenix, AZ 85054-4502

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