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

Nathan Clarke

Individual provider Physical Therapist · NPI 1043920218

Nathan Clarke is a Physical Therapist in Private Practice in Wilmington, Massachusetts. Qualified in 2022, 4 years ago. Practices with Athletic Evolution Physical Therapy LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
4
Licensed in
MA
In the registry since
2022

Practice location Address checks out

64J Concord St
Wilmington, MA 01887-2179
Phone: (781) 935-7701
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 26573 (MA)

Record details

NPI number1043920218
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 29, 2022
Last updated in NPPESNovember 29, 2022
Certification dateNovember 29, 2022
Mailing address64j Concord St, Wilmington, MA 01887-2179

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Athletic Evolution Physical Therapy Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wilmington