SPENCER CLARK – Physical Therapist, NPI 1245576487
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,143 PHYSICAL THERAPIST IN PRIVATE PRACTICE in UT
Provider Addresses for SPENCER CLARK
PO BOX 711185
SALT LAKE CITY, UT 841711185
Phone: (801) 942-3311
Fax: (801) 495-5303
Type: Mailing
1952 E 7000 S
SALT LAKE CITY, UT 841216877
Phone: (801) 942-3311
Fax: (801) 495-5303
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: 2024-04-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180111000981 | I | Physical Therapist In Private Practice | UT | TBD |
| I20230308003008 | I | Physical Therapist In Private Practice | OH | TBD |
| I20230309002986 | I | Physical Therapist In Private Practice | GA | TBD |
| I20230315000981 | I | Physical Therapist In Private Practice | CO | TBD |
| I20240410000194 | I | Physical Therapist In Private Practice | TX | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 4,575 | 1,517 | $0 |
| 97542 | Evaluation for wheelchair, each 15 minutes | 4,186 | 1,423 | $0 |
| 97535 | Training for self-care or home management, each 15 minutes | 3,642 | 1,429 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 2,735 | 683 | $0 |
| 97163 | Evaluation for physical therapy, typically 45 minutes | 1,157 | 1,048 | $0 |
Insurance plans in this area (ZIP 84171)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | NY | |
| Physician Assistant | UT | |
| Nurse Practitioner | UT | |
| Occupational Therapist In Private Practice | IA | |
| Nurse Practitioner | UT |
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