MISS JOAN M CLARK (PT) – Physical Therapist, NPI 1790786176

MISS JOAN M CLARK (PT) is a healthcare provider. based in Palmyra, Virginia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 2305004236 (VA). The NPI Number for MISS JOAN M CLARK (PT) is 1790786176

Main info

Female
Sole Proprietor
38 Years Of Experience
Accepts Medicare Assignment
Name
MISS JOAN M CLARK (PT)
NPI
1790786176
Phone
(434) 589-8865
Address
285 JEFFERSON DR W
Enumeration Date
9 August 2005
Last Update Date
7 November 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4349622803
Graduation Year
1988 (38 years ago)
PAC ID
0042263162
Professional Enrollment ID
I20050301000166
Address ID
VA22963XXXXPAXXXXXXXXXX00
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,080 PHYSICAL THERAPIST IN PRIVATE PRACTICE in VA

Provider Addresses for MISS JOAN M CLARK (PT)

  • 285 JEFFERSON DR W

    PALMYRA, VA 229632404

    Phone: (434) 589-8865

    Fax: (434) 589-8865

    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: 2005-03-01

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
I20050301000166IPhysical Therapist In Private PracticeVATBD

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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes51250$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes29244$0
97140Therapy procedure using manual technique, each 15 minutes13931$0
97530Therapy procedure using functional activities4613$0
97035Application of ultrasound, each 15 minutes3012$0
View full utilization report →

Insurance plans in this area (ZIP 22963)

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Provider's Procedures

MISS JOAN M CLARK (PT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYVA97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes56599

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Frequently asked questions

What number should I use to identify MISS JOAN M CLARK (PT) for billing?
Administrative and clinical systems typically use NPI 1790786176 for MISS JOAN M CLARK (PT).
Does the public listing show MISS JOAN M CLARK (PT) as active?
MISS JOAN M CLARK (PT)'s NPI record reflects an active status in NPPES.
What services align with MISS JOAN M CLARK (PT)'s listing?
MISS JOAN M CLARK (PT)'s public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
Can patients visit MISS JOAN M CLARK (PT) in Palmyra, Virginia?
For routing, start with Palmyra, Virginia for MISS JOAN M CLARK (PT), then verify phone and hours locally.
Can I export MISS JOAN M CLARK (PT)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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