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

Otis Winston Clark, DPT

Individual provider Physical Therapist · NPI 1477864312

Otis Winston Clark, DPT is a Physical Therapist in Columbia, South Carolina. Licensed in Georgia and South Carolina. Registered with an NPI since 2010.

Licensed in
GA, SC
In the registry since
2010
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

3250 Harden Street Ext Ste 100
Columbia, SC 29203-6842
Phone: (803) 509-6389
Fax: (803) 509-6390
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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 7643 (SC)
Physical Therapist Taxonomy 225100000X · Licence PT009950 (GA)

Record details

NPI number1477864312
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 25, 2010
Last updated in NPPESJanuary 16, 2015

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