FAITH CLARK (LPTA) – Physical Therapy Assistant, NPI 1346699212

FAITH CLARK (LPTA) is a healthcare provider. based in Waterloo, Illinois. specializing in Physical Therapy Assistant. They hold the professional credentials LPTA. They hold a License No. 116923 (MO). The NPI Number for FAITH CLARK (LPTA) is 1346699212

Main info

Female
Sole Proprietor
Name
FAITH CLARK (LPTA)
NPI
1346699212
Phone
(618) 420-3164
Address
437 MOCKINGBIRD LN
Enumeration Date
10 June 2016
Last Update Date
15 December 2021
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

Provider Addresses for FAITH CLARK (LPTA)

  • 437 MOCKINGBIRD LN

    WATERLOO, IL 622981279

    Phone: (618) 420-3164

    Type: Mailing

  • 623 HAMACHER ST

    WATERLOO, IL 622981786

    Phone: (618) 420-3164

    Type: Location

  • 711, South Kirkwood Road, Windsor Springs, Kirkwood, Saint Louis County, Missouri, 63122, United States

    KIRKWOOD, MO 631225928

    Phone: (314) 965-0864

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62298)

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Reviews

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Frequently asked questions

How do payers reference FAITH CLARK (LPTA)?
For FAITH CLARK (LPTA), use NPI 1346699212 as the unique 10-digit identifier.
Is there an active status for FAITH CLARK (LPTA)?
For scheduling context, FAITH CLARK (LPTA) is shown as active in the registry.
What expertise is attributed to FAITH CLARK (LPTA)?
FAITH CLARK (LPTA)'s specialty line reads Physical Therapy Assistant. Clinical services aligned with this taxonomy classification.
Where in Illinois is FAITH CLARK (LPTA) registered?
Use Waterloo, Illinois as the headline location for FAITH CLARK (LPTA) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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