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

Greg Clark, PTA

Individual provider Physical Therapy Assistant · NPI 1629358395

Greg Clark, PTA is a Physical Therapy Assistant in Jonesboro, Arkansas. Licensed in Florida. Registered with an NPI since 2011.

Licensed in
FL
In the registry since
2011
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

2105 Bristol Dr
Jonesboro, AR 72401-8505
Phone: (870) 405-9551
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 22783 (FL)

Record details

NPI number1629358395
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedAugust 25, 2011
Last updated in NPPESAugust 25, 2011
Mailing address2105 Bristol Dr, Jonesboro, AR 72401-8505

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