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

Mr. Todd K A Clark, MSPT

Individual provider Physical Therapist · NPI 1790850758

Mr. Todd K A Clark, MSPT is a Physical Therapist in Private Practice in Kailua, Hawaii. Qualified in 2000, 26 years ago. Practices with Team Physical Therapy, LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Hawaii.

Years since qualifying
26
Licensed in
HI
In the registry since
2006
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1090 Keolu Dr Ste 104
Kailua, HI 96734-3871
Phone: (808) 262-2292
Fax: (808) 262-2293
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT1978 (HI)
Physical Therapist Taxonomy 225100000X · Licence 1978 (HI)

Record details

NPI number1790850758
Entity typeIndividual (Type 1)
GenderMale
Credentials MSPT
Sole proprietorNo
NPI enumeratedNovember 22, 2006
Last updated in NPPESMay 11, 2017

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Team Physical Therapy, Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kailua