PETER MICHAEL CLARK (ATC, CSCS) – Athletic Trainer, NPI 1891789087

PETER MICHAEL CLARK (ATC, CSCS) is a healthcare provider. based in South portland, Maine. specializing in Athletic Trainer. They hold the professional credentials ATC, CSCS. They hold a License No. AT226 (ME). The NPI Number for PETER MICHAEL CLARK (ATC, CSCS) is 1891789087

Main info

Male
Name
PETER MICHAEL CLARK (ATC, CSCS)
NPI
1891789087
Phone
Not provided
Address
96 GRANDVIEW AVE
Enumeration Date
2 September 2005
Last Update Date
8 July 2007
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

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Provider Addresses for PETER MICHAEL CLARK (ATC, CSCS)

  • 96, Grandview Avenue, Thornton Heights, South Portland, Cumberland County, Maine, 04106, United States

    SOUTH PORTLAND, ME 041066114

    Phone:

    Type: Mailing

  • 23, Bridgton Road, Prides Corner, Westbrook, Cumberland County, Maine, 04092, United States

    WESTBROOK, ME 040923653

    Phone: (207) 797-3477

    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.

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

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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 04106)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for PETER MICHAEL CLARK (ATC, CSCS)?
PETER MICHAEL CLARK (ATC, CSCS) — NPI 1891789087 — is the standard way to identify this listing.
Can I rely on PETER MICHAEL CLARK (ATC, CSCS) being an active provider?
As of the registry snapshot, PETER MICHAEL CLARK (ATC, CSCS) is marked active.
What is PETER MICHAEL CLARK (ATC, CSCS)'s primary classification?
Athletic Trainer is the headline specialty for PETER MICHAEL CLARK (ATC, CSCS) here. Clinical services aligned with this taxonomy classification.
Does PETER MICHAEL CLARK (ATC, CSCS) list a practice location?
Patients near South Portland, Maine may find PETER MICHAEL CLARK (ATC, CSCS) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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