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

Zachary Clark

Individual provider Physical Therapist · NPI 1174259535

Zachary Clark is a Physical Therapist in Private Practice in Louisville, Kentucky. Qualified in 2022, 4 years ago. Practices with Aptiva Health, a 38-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
4
Licensed in
KY
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

291 N Hubbards Ln Ste 195
Louisville, KY 40207-8227
Phone: (502) 632-4003
Fax: (502) 632-4004
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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 008665 (KY)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1174259535
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 28, 2022
Last updated in NPPESNovember 3, 2022
Certification dateNovember 3, 2022

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 Aptiva Health — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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