AMY ELIZABETH CLARKE (MPT) – Physical Therapist, NPI 1689864910
Physical Therapist
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
2,000 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WI
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Provider Addresses for AMY ELIZABETH CLARKE (MPT)
105, North Oakwood Road, Oakwood, Oshkosh, Town of Algoma, Winnebago County, Wisconsin, 54904, United States
OSHKOSH, WI 549047830
Phone: (920) 279-6139
Type: Mailing
933, Newbury Street, Ripon, Fond du Lac County, Wisconsin, 54971, United States
RIPON, WI 549711730
Phone: (920) 748-9138
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: 2025-02-24
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250224000403 | I | Physical Therapist In Private Practice | WI | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 54904)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WI | |
| Family Practice | WI | |
| Family Practice | IL | |
| Geriatric Medicine, Internal Medicine | WI | |
| - | WI | |
| - | WI | |
| - | IL | |
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| Family Practice | WI | |
| - | OH |
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