| Emily Clark, DPT | |
|
405 Racetrack Rd Ne Ste 101, Fort Walton Beach, FL 32547-3960 | |
| (850) 863-4747 | |
| Not Available |
| Full Name | Emily Clark |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 405 Racetrack Rd Ne Ste 101, Fort Walton Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316787898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2-1372 (Alabama) | Secondary |
| 225100000X | Physical Therapist | PT43404 (Florida) | Primary |
| Provider Name | Ssm Health Care Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1306589544 PECOS PAC ID: 0143608372 Enrollment ID: O20220531002655 |
| Mailing Address | Practice Location Address |
|---|---|
| Emily Clark, DPT 7617 Quail Dr Sw, Huntsville, AL 35802-2830 Ph: () - | Emily Clark, DPT 405 Racetrack Rd Ne Ste 101, Fort Walton Beach, FL 32547-3960 Ph: (850) 863-4747 |
Nicole Anderson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 928 Mar Walt Drive, Ste 104, Fort Walton Beach, FL 32547 Phone: 850-863-4747 | |
Meiling Brownfield, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 928 Mar Walt Dr Ste 104, Fort Walton Beach, FL 32547 Phone: 850-863-4747 | |
Dr. Ruben Jonathan Ruiz, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1034 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-315-9310 | |
Alison Barnes, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 24 Hollywood Blvd Sw Ste 7, Fort Walton Beach, FL 32548 Phone: 850-432-1596 | |
Edward Paul Meadors Jr., DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1110 Hospital Rd, Fort Walton Beach, FL 32547 Phone: 850-563-8129 Fax: 850-314-6364 | |
Devon N Jernigan, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-862-1111 | |
Patricia (trisha) Betty Roberts, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 24 Hollywood Blvd Sw Ste 7, Fort Walton Beach, FL 32548 Phone: 850-226-7411 Fax: 850-226-7496 |