BROOKE MARIE CLARK (PTA) – Physical Therapist, NPI 1790003911

BROOKE MARIE CLARK (PTA) is a healthcare provider. based in Lima, Ohio. specializing in Physical Therapist. They hold the professional credentials PTA. They hold a License No. TEI000420 (PA). The NPI Number for BROOKE MARIE CLARK (PTA) is 1790003911

Main info

Female
Name
BROOKE MARIE CLARK (PTA)
NPI
1790003911
Phone
(419) 999-2030
Address
1100 SHAWNEE ROAD
Enumeration Date
12 May 2010
Last Update Date
2 December 2015
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:16State licenses:1Digital endpointsOther names

Provider Addresses for BROOKE MARIE CLARK (PTA)

  • 1100 SHAWNEE ROAD

    LIMA, OH 45805

    Phone: (419) 999-2030

    Fax: (419) 991-0909

    Type: Mailing

  • 640 WORTH STREET

    CORRY, PA 164078515

    Phone: (814) 664-9606

    Fax: (814) 665-0036

    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.

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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 45805)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for BROOKE MARIE CLARK (PTA)?
BROOKE MARIE CLARK (PTA) — NPI 1790003911 — is the standard way to identify this listing.
Is BROOKE MARIE CLARK (PTA) listed as active for patients and plans?
The listing shows BROOKE MARIE CLARK (PTA) as active in the NPI system.
What healthcare role does BROOKE MARIE CLARK (PTA) hold?
Scheduling teams often label BROOKE MARIE CLARK (PTA) under Physical Therapist. Clinical services aligned with this taxonomy classification.
Where should I expect BROOKE MARIE CLARK (PTA) on a map?
Expect Lima, Ohio as a primary anchor for BROOKE MARIE CLARK (PTA) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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