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

Jason Clark, PTA

Individual provider Physical Therapy Assistant · NPI 1053190660

Jason Clark, PTA is a Physical Therapy Assistant in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2023.

Licensed in
IN
In the registry since
2023
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

10908 Stoney Creek Ct
Indianapolis, IN 46239-9481
Phone: (765) 969-9816
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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 06003774A (IN)

Record details

NPI number1053190660
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedSeptember 22, 2023
Last updated in NPPESSeptember 22, 2023
Certification dateSeptember 22, 2023
Mailing address10908 Stoney Creek Ct, Indianapolis, IN 46239-9481

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