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

Clarke B Antonio, PT

Individual provider Physical Therapist · NPI 1255943874

Clarke B Antonio, PT is a Physical Therapist in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2020.

Licensed in
AZ
In the registry since
2020
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

11225 N 28th Dr # SRF100
Phoenix, AZ 85029-5606
Phone: (602) 866-0066
Fax: (602) 866-3868
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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 31402 (AZ)

Record details

NPI number1255943874
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 17, 2020
Last updated in NPPESAugust 17, 2020
Certification dateAugust 17, 2020

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