Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Stephen B Clark, DPT, MS, ATC, CSCS

Individual provider Athletic Trainer · NPI 1396000998

Dr. Stephen B Clark, DPT, MS, ATC, CSCS is an Athletic Trainer in Boston, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2012
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.
MS — Master of Science
A graduate science degree.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

369 Huntington Ave
Boston, MA 02115-4402
Phone: (617) 399-7330
Fax: (617) 399-7331
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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 PTL20174 (MA)
Athletic Trainer Taxonomy 2255A2300X · Licence AT1646 (MA)

Record details

NPI number1396000998
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT , MS , ATC , CSCS
Sole proprietorYes
NPI enumeratedJuly 10, 2012
Last updated in NPPESFebruary 6, 2024
Certification dateFebruary 6, 2024

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