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

Mr. Jeffrey Clark, PT

Individual provider Physical Therapist · NPI 1265783328

Mr. Jeffrey Clark, PT is a Physical Therapist in Private Practice in Spring Lake, Michigan. Qualified in 2001, 25 years ago. Practices with Shoreline Sport and Spine PLLC, a 45-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
25
Licensed in
MI
In the registry since
2012
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

18000 Cove St Ste 202
Spring Lake, MI 49456-1383
Phone: (616) 847-1280
Fax: (616) 847-1290
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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 5501015934 (MI)

Record details

NPI number1265783328
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedSeptember 28, 2012
Last updated in NPPESJuly 1, 2014
Mailing address18000 Cove Street, Suite 202, Spring Lake, MI 49456-1383

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Shoreline Sport And Spine Pllc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Spring Lake