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

Nicole Clark, PT

Individual provider Physical Therapist · NPI 1700466521

Nicole Clark, PT is a Physical Therapist in Private Practice in Signal Mountain, Tennessee. Qualified in 2020, 6 years ago. Practices with Agilitas USA, Inc, a 810-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
6
Licensed in
TN
In the registry since
2021
Specialties on file
2
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

2600 Taft Hwy Ste 400
Signal Mountain, TN 37377-2778
Phone: (423) 886-6979
Fax: (423) 886-6962
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 502 N Market St Ste 102, Chattanooga, TN 37405-4438 — (423) 634-1922
  • 1736 Gunbarrel Rd Ste B, Chattanooga, TN 37421-3127 — (423) 894-9893

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 13616 (TN)
Physical Therapist Taxonomy 225100000X (TN)

Record details

NPI number1700466521
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedApril 14, 2021
Last updated in NPPESNovember 15, 2024
Certification dateNovember 15, 2024
Mailing address1200 Corporate Dr Ste 400, Hoover, AL 35242-5424

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Agilitas Usa, Inc — 810 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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