ERICA LYNNE CLARK (PHYSICAL THERAPIST) – Physical Therapist, NPI 1407830359

ERICA LYNNE CLARK (PHYSICAL THERAPIST) is a healthcare provider. based in Tigard, Oregon. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PHYSICAL THERAPIST. They hold a License No. PT00006742 (WA). The NPI Number for ERICA LYNNE CLARK (PHYSICAL THERAPIST) is 1407830359

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
ERICA LYNNE CLARK (PHYSICAL THERAPIST)
NPI
1407830359
Phone
(800) 219-8835
Address
16083 SW UPPER BOONES FERRY RD
Enumeration Date
5 December 2005
Last Update Date
26 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2068189425
Graduation Year
1995 (31 years ago)
PAC ID
4082680715
Group Practice PAC ID
4688052467
Professional Enrollment ID
I20040903000683
Address ID
WA980405912ME7750XSEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

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Provider Addresses for ERICA LYNNE CLARK (PHYSICAL THERAPIST)

  • 16083, Southwest Upper Boones Ferry Road, Durham Road, Tigard, Metro, Washington County, Oregon, 97224, United States

    STE 300

    TIGARD, OR 972247736

    Phone: (800) 219-8835

    Fax: (503) 639-9699

    Type: Mailing

  • 4701, 41st Avenue Southwest, Morgan Junction, West Seattle, Seattle, King County, Washington, 98116, United States

    STE 100

    SEATTLE, WA 981164597

    Phone: (206) 932-8363

    Fax: (206) 932-8363

    Type: Location

  • 4701 41st Ave SW

    Ste 100

    Seattle, WA 981164597

    Phone: (206) 932-8363

    Fax: (206) 932-8363

    Type: Location

  • 7228 W MERCER WAY

    MERCER ISLAND, WA 980405572

    Phone: (206) 954-6936

    Fax: (206) 456-2551

    Type: Mailing

  • 9311 SE 36TH ST STE 208

    MERCER ISLAND, WA 980403741

    Phone: (206) 402-6339

    Fax: (206) 456-2551

    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: 2004-09-03

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
I20040903000683IPhysical Therapist In Private PracticeWATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities3,59570$0
97140Therapy procedure using manual technique, each 15 minutes86149$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes30019$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes7014$0
97161Evaluation for physical therapy, typically 20 minutes3333$0
View full utilization report →

Insurance plans in this area (ZIP 97224)

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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: 4688052467View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeOK
Physical Therapist In Private PracticeWA

Reviews

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Frequently asked questions

What is ERICA LYNNE CLARK (PHYSICAL THERAPIST)'s NPI number?
ERICA LYNNE CLARK (PHYSICAL THERAPIST)'s NPI is 1407830359 — the number used across U.S. healthcare to identify this provider.
Is there an active status for ERICA LYNNE CLARK (PHYSICAL THERAPIST)?
For scheduling context, ERICA LYNNE CLARK (PHYSICAL THERAPIST) is shown as active in the registry.
What kind of doctor is ERICA LYNNE CLARK (PHYSICAL THERAPIST)?
ERICA LYNNE CLARK (PHYSICAL THERAPIST) is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
Is ERICA LYNNE CLARK (PHYSICAL THERAPIST) located near Tigard?
ERICA LYNNE CLARK (PHYSICAL THERAPIST) currently maps to Tigard, Oregon in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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