JACQUELINE CLARK (ATC, CSCS) – Athletic Trainer, NPI 1336552629

JACQUELINE CLARK (ATC, CSCS) is a healthcare provider. based in West roxbury, Massachusetts. specializing in Athletic Trainer. They hold the professional credentials ATC, CSCS. They hold a License No. 1867 (MA). The NPI Number for JACQUELINE CLARK (ATC, CSCS) is 1336552629

Main info

Female
Sole Proprietor
Name
JACQUELINE CLARK (ATC, CSCS)
NPI
1336552629
Phone
(617) 759-2912
Address
47 PARAGON RD UNIT 2
Enumeration Date
4 June 2014
Last Update Date
4 June 2014
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

Provider Addresses for JACQUELINE CLARK (ATC, CSCS)

  • 47 PARAGON RD UNIT 2

    WEST ROXBURY, MA 021325127

    Phone: (617) 759-2912

    Type: Mailing

  • 550 HUNTINGTON AVE

    BOSTON, MA 021155901

    Phone: (617) 989-4144

    Fax: (617) 989-4150

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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.

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 02132)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the 10-digit NPI for JACQUELINE CLARK (ATC, CSCS)?
JACQUELINE CLARK (ATC, CSCS) — NPI 1336552629 — is the standard way to identify this listing.
Does the file indicate JACQUELINE CLARK (ATC, CSCS) is practicing under active NPI?
Directory data currently reports JACQUELINE CLARK (ATC, CSCS) as active.
What is JACQUELINE CLARK (ATC, CSCS) best known for clinically?
Directory data describes JACQUELINE CLARK (ATC, CSCS) with Athletic Trainer. Clinical services aligned with this taxonomy classification.
What area does JACQUELINE CLARK (ATC, CSCS) serve?
JACQUELINE CLARK (ATC, CSCS)'s listing highlights West Roxbury, Massachusetts; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

Similar Providers

22, Abbott Street, Brookfield Village, South Weymouth, Weymouth, Norfolk County, Massachusetts, 02190, United States
NPI: 1124069026
92, Sanborn Avenue, West Roxbury, Boston, Suffolk County, Massachusetts, 02132, United States
NPI: 1689601890
Cardinal Cushing Library, 400, Fenway, Audubon Square, Boston, Suffolk County, Massachusetts, 02115, United States
NPI: 1386662385
39 RIDGECREST TER APT 10
NPI: 1982739207
95 ANDREWS ST
NPI: 1124156708
6 HIGHPOINT CIR APT 115
NPI: 1487866927

MELANIE MAY BACHTELER (LAT, ATC)

Sports Medicine (Emergency Medicine) Physician
4 COWING ST APT 4
NPI: 1447874904
48 CROSS ST
NPI: 1306446489