DR. JAY BRADFORD CLARK DSCPT MPT NPI 1235255837

NPI Information

NPI: 1235255837
Provider Name: DR. JAY BRADFORD CLARK, DSCPT, MPT
Classification: Physical Therapist - 2251X0800X
Entity Type: Individual

Specialization: Orthopedic

Address:
4807 BENSON AVE.
BALTIMORE, MD
ZIP 21227
Phone: (410) 242-8963
Get Directions

DR. Jay Bradford Clark, DSCPT, MPT is an orthopedic physical therapist in Baltimore, MD. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. DR. Jay Bradford Clark, DSCPT, MPT NPI is 1235255837. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4807 BENSON AVE.
BALTIMORE, MD
ZIP 21227-530
Phone: (410) 242-8963
Fax: (410) 242-8965

The enumeration date for this NPI number is 3/22/2007 and was last updated on 7/17/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		18491	MARYLAND	No
2	2251G0304X	Physical Therapist	Geriatrics	18491	MARYLAND	No
3	2251P0200X	Physical Therapist	Pediatrics	18491	MARYLAND	No
4	2251X0800X	Physical Therapist	Orthopedic	18491	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	170S	MEDICARE UPIN	MARYLAND
2	103539600	MEDICARE UPIN	MARYLAND
3	170S	MEDICARE UPIN
4	020880900	MEDICAID	MARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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