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

Jessica Granger Clark

Individual provider Physical Therapist · NPI 1942864582

Jessica Granger Clark is a Physical Therapist in Private Practice in Ruston, Louisiana. Qualified in 2016, 10 years ago. Practices with Jackson Parish Therapy Center, LLC, a 25-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
10
Licensed in
SC
In the registry since
2019

Practice location Address checks out

1701 Commerce St
Ruston, LA 71270-6659
Phone: (318) 224-8994
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 9612 (SC)

Record details

NPI number1942864582
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 29, 2019
Last updated in NPPESMarch 25, 2025
Certification dateMarch 25, 2025
Mailing address1110 Highway 556, Choudrant, LA 71227-9790

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Jackson Parish Therapy Center, Llc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Ruston