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

Mr. Zachary Alexander Clark, PT, DPT, LMT

Individual provider Massage Therapist · NPI 1790169225

Mr. Zachary Alexander Clark, PT, DPT, LMT is a Physical Therapist in Private Practice in Sparks, Nevada. Qualified in 2021, 5 years ago. Practices with Moreland Physical Therapy Prof Corp, a 6-clinician group and accepts Medicare assignment. Licensed in Hawaii and Nevada.

Years since qualifying
5
Licensed in
HI, NV
In the registry since
2015
Specialties on file
3
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

3005 N McCarran Blvd
Sparks, NV 89431-1885
Phone: (775) 359-1199
Fax: (775) 359-1195
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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 4575 (NV)
Massage Therapist Taxonomy 225700000X · Licence NVMT.9396 (NV)
Massage Therapist Taxonomy 225700000X · Licence MAT-13654 (HI)

Record details

NPI number1790169225
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT , LMT
Sole proprietorNo
NPI enumeratedJuly 14, 2015
Last updated in NPPESJuly 21, 2026
Certification dateJuly 21, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Moreland Physical Therapy Prof. Corp. — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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