Dr Kelly Ann Clark, DPT, PT, MT - in Bloomington, IN

Dr Kelly Ann Clark, DPT, PT, MT is a Physical Therapist based in Bloomington, Indiana. Dr Kelly Ann Clark is licensed to practice in Indiana (license number 05013530A) and her current practice location is 2620 N Walnut St, Suite 600, Bloomington, Indiana. She can be reached at her office (for appointments etc.) via phone at (812) 558-0708.

NPI number for Dr Kelly Ann Clark is 1528614153 and her current mailing address is 2620 N Walnut St, Suite 600, Bloomington, Indiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1528614153.

Contact Information

Dr Kelly Ann Clark, DPT, PT, MT
2620 N Walnut St, Suite 600,
Bloomington, IN 47404-2008
(812) 558-0708
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Kelly Ann Clark
GenderFemale
SpecialityPhysical Therapist
Location2620 N Walnut St, Bloomington, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1528614153
  • Provider Enumeration Date: 08/09/2019
  • Last Update Date: 08/09/2019

Medical Identifiers

Medical identifiers for Dr Kelly Ann Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528614153NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225700000XMassage Therapist MT21304740 (Indiana)Secondary
225100000XPhysical Therapist 05013530A (Indiana)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kelly Ann Clark is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kelly Ann Clark, DPT, PT, MT
2620 N Walnut St, Suite 600,
Bloomington, IN 47404-2008

Ph: (812) 558-0708
Dr Kelly Ann Clark, DPT, PT, MT
2620 N Walnut St, Suite 600,
Bloomington, IN 47404-2008

Ph: (812) 558-0708

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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