DR. NAOMI CLARK (PT, DPT) – Physical Therapist, NPI 1346609872

DR. NAOMI CLARK (PT, DPT) is a healthcare provider. based in Atlanta, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. PT009984 (GA). The NPI Number for DR. NAOMI CLARK (PT, DPT) is 1346609872

Main info

Female
16 Years Of Experience
Name
DR. NAOMI CLARK (PT, DPT)
NPI
1346609872
Phone
(404) 261-0328
Address
3130 PEACHTREE DR NE
Enumeration Date
11 February 2016
Last Update Date
26 February 2025

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
8287130560
Graduation Year
2010 (16 years ago)
PAC ID
0042735649
Group Practice PAC ID
5395168629
Professional Enrollment ID
I20250416001189
Address ID
GA301441309KE4381XNWXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

2,870 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA

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Provider Addresses for DR. NAOMI CLARK (PT, DPT)

  • 3130, Peachtree Drive Northeast, Buckhead, Atlanta, Fulton County, Georgia, 30305, United States

    ATLANTA, GA 303052752

    Phone: (404) 261-0328

    Type: Mailing

  • 3243 HERITAGE CIR

    HENDERSONVILLE, NC 287913553

    Phone: (828) 393-5168

    Fax: (865) 951-7273

    Type: Mailing

  • 4381 BELLS FERRY RD NW

    KENNESAW, GA 301441309

    Phone: (828) 393-5168

    Fax: (865) 951-7273

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-04-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250416001189IPhysical Therapist In Private PracticeGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30305)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5395168629View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeIL
Physical Therapist In Private PracticeFL
Occupational Therapist In Private PracticeTN
Physical Therapist In Private PracticeNC
Physical Therapist In Private PracticeNC
Physical Therapist In Private PracticeTN
-NC
Occupational Therapist In Private PracticeTN
Qualified Speech Language PathologistNC
Physical Therapist In Private PracticeNC

Reviews

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Frequently asked questions

Can I verify DR. NAOMI CLARK (PT, DPT) with an NPI only?
You can start verification with NPI 1346609872 for DR. NAOMI CLARK (PT, DPT), then check state licensing separately.
Is DR. NAOMI CLARK (PT, DPT) still practicing?
DR. NAOMI CLARK (PT, DPT) is currently listed as active in the public NPI registry.
What is DR. NAOMI CLARK (PT, DPT)'s specialty?
The listing groups DR. NAOMI CLARK (PT, DPT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
What area does DR. NAOMI CLARK (PT, DPT) serve?
DR. NAOMI CLARK (PT, DPT)'s listing highlights Atlanta, Georgia; more addresses can appear in NPPES.
Is the information about DR. NAOMI CLARK (PT, DPT) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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