ASPEN CLARK – Student in an Organized Health Care Education/Training Program, NPI 1518503911

ASPEN CLARK is a healthcare provider. based in Pella, Iowa. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. The NPI Number for ASPEN CLARK is 1518503911

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
ASPEN CLARK
NPI
1518503911
Phone
(641) 451-5350
Address
812 UNIVERSITY ST # 295
Enumeration Date
20 November 2019
Last Update Date
20 November 2019

Doctor Profile

Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6412091446
Graduation Year
2024 (2 years ago)
PAC ID
2062957566
Group Practice PAC ID
7416297312
Professional Enrollment ID
I20240709002004
Address ID
IA525563771FA1401XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness75
Years active:6State licenses:0Digital endpointsOther names

1,303 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IA

Provider Addresses for ASPEN CLARK

  • 812 UNIVERSITY ST # 295

    PELLA, IA 502191902

    Phone: (641) 451-5350

    Mailing address matches the actual address.

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: 2024-07-09

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
I20240709002004IPhysical Therapist In Private PracticeIATBD

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 50219)

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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: 7416297312View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeIA

Reviews

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Frequently asked questions

What number should I use to identify ASPEN CLARK for billing?
Administrative and clinical systems typically use NPI 1518503911 for ASPEN CLARK.
Does the public listing show ASPEN CLARK as active?
ASPEN CLARK's NPI record reflects an active status in NPPES.
What type of care does ASPEN CLARK provide?
ASPEN CLARK's profile centers on Student in an Organized Health Care Education/Training Program. Clinical services aligned with this taxonomy classification.
What city is tied to ASPEN CLARK?
The directory associates ASPEN CLARK with Pella, Iowa. Check all listed addresses for suites or satellite offices.
Who maintains ASPEN CLARK's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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TATE O'TOOL

Student in an Organized Health Care Education/Training Program
Central College, 812, University Street, Pella, Marion County, Iowa, 50219, United States
NPI: 1225516735

JORDAN ALTON BORMAN

Student in an Organized Health Care Education/Training Program
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NPI: 1326526831