LISA R CLARK PT
NPI 1811904378
Physical Therapist in Charlotte, NC
NPI Status: Active since August 01, 2006
Contact Information
101 E WT HARRIS BLVD
CUITE 300
CHARLOTTE, NC
ZIP 28262
Phone: (704) 548-5780
Fax: (704) 548-5876
- Individual
- Female
- Physical Therapist
- Accepts Insurance
About LISA CLARK
This page provides the complete NPI Profile along with additional information for Lisa Clark, a provider established in Charlotte, North Carolina with a medical specialization in Physical Therapist. The healthcare provider is registered in the NPI registry with number 1811904378 assigned on August 2006. The practitioner's primary taxonomy code is 225100000X with license number 9754 (NC). The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1811904378
- Provider Name
- LISA R CLARK PT
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 101 E WT HARRIS BLVD CUITE 300 CHARLOTTE, NC 28262
- Location Phone
- (704) 548-5780
- Location Fax
- (704) 548-5876
- Mailing Address
- 1100 BLYTHE BLVD CHARLOTTE, NC 28203
- Mailing Phone
- (704) 355-4370
- Mailing Fax
- (704) 548-5876
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-01-2006
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Therapist
- Taxonomy Code
- 225100000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 9754
- License State
- NC
- Taxonomy Description
- Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Bronze Standard | Nationwide Doctors - PPO
- Blue Advantage Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Gold Standard | Nationwide Doctors - PPO
- Blue Advantage Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Silver Standard | Nationwide Doctors - PPO
- Blue Care Bronze Standard | Statewide Doctors - HMO
- Blue Care Gold Standard | Statewide Doctors - HMO
- Blue Care Silver Standard | Statewide Doctors - HMO
- Blue Local Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | with Atrium Health - EPO
- Blue Local Bronze Complete | $60 PCP | $20 Tier 1 Rx | with Atrium Health - EPO
- Blue Local Bronze Standard | with Atrium Health - EPO
- Blue Local Gold Premier | 3 Free PCP | $10 Tier 1 Rx | with Atrium Health - EPO
- Blue Local Gold Standard | with Atrium Health - EPO
- Blue Local Silver Choice | 3 Free PCP | $15 Tier 1 Rx | with Atrium Health - EPO
- Blue Local Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with Atrium Health - EPO
- Blue Local Silver Standard | with Atrium Health - EPO
- Blue Direction Silver 1 - POS
- Blue Direction Silver 1 + Adult Vision - POS
- Blue Direction Silver 2 - POS
- Blue Direction Standard Gold - POS
- Blue Direction Standard Silver - POS
- Blue VirtuConnect Bronze 1 - EPO
- Blue VirtuConnect Gold 1 - EPO
- Blue VirtuConnect Silver 1 - EPO
- BlueEssentials Bronze 4 - EPO
- BlueEssentials Bronze 6 - EPO
- BlueEssentials Catastrophic 1 - EPO
- BlueEssentials Gold 1 - EPO
- BlueEssentials Gold 5 - EPO
- BlueEssentials Silver 14 - EPO
- BlueEssentials Silver 14 + Adult Vision - EPO
- BlueEssentials Silver 39 - EPO
- BlueEssentials Standard Expanded Bronze - EPO
- BlueEssentials Standard Gold - EPO
- BlueEssentials Standard Silver - EPO
- BlueExtend PPO HD Bronze 1 - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7211891 | MEDICAID (05) | NY |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 8 | 1 | 1 | 9 | 0 | 4 | 3 | 7 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 2 | 1 | 18 | 0 | 8 | 3 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 2 + 1 + 1 + 8 + 0 + 8 + 3 + 1 + 4 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1811904378 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1518962711 | NANCY COLETTE MONTZ MD Individual | Specialist | 101 E WT HARRIS BLVD SUITE 5002 CHARLOTTE, NC 28262 (704) 548-8724 |
| 1659310639 | DR. RALPH NELSON VICK M.D. Individual | Urology | 101 E WT HARRIS BLVD STE 5202 CHARLOTTE, NC 28262 (704) 547-1495 |
| 1679506166 | DR. JANE REN M.D. Individual | Family Medicine | 101 E WT HARRIS BLVD BUILDING 3000, SUITE 3301 CHARLOTTE, NC 28262 (704) 548-6970 |
| 1588679062 | ANGELA M MODEROW PT Individual | Physical Therapist | 101 E WT HARRIS BLVD SUITE 300 CHARLOTTE, NC 28262 (704) 548-5780 |
| 1952316440 | KAREN A KITCHENS-LAW OT Individual | Occupational Therapist | 101 E WT HARRIS BLVD SUITE 300 CHARLOTTE, NC 28262 (704) 548-5780 |
| 1396750733 | DIANE L SCHLEICHER PT Individual | Physical Therapist | 101 E WT HARRIS BLVD CHARLOTTE, NC 28262 (704) 548-5780 |
| 1417964941 | KRISTA J BERGER SLP Individual | Speech-Language Pathologist | 101 E WT HARRIS BLVD SUITE 300 CHARLOTTE, NC 28262 (704) 548-5780 |
| 1821004318 | MELISSA MIRANDA PT Individual | Physical Therapist | 101 E WT HARRIS BLVD CUITE 300 CHARLOTTE, NC 28262 (704) 548-5780 |
| 1891701306 | DIANE G WASSUM PT Individual | Physical Therapist | 101 E WT HARRIS BLVD SUITE 300 CHARLOTTE, NC 28262 (704) 548-5780 |
| 1396752820 | PAMELA C MILLS OT Individual | Occupational Therapist | 101 E WT HARRIS BLVD SUITE 300 CHARLOTTE, NC 28262 (704) 548-5780 |
| 1720197825 | DONALD C. WHITESIDE MD Individual | Obstetrics & Gynecology | 101 E WT HARRIS BLVD SUITE 2320 CHARLOTTE, NC 28262 (704) 547-0858 |
| 1730201302 | STEPHANIE J B LEVI PT Individual | Physical Therapist | 101 E WT HARRIS BLVD SUITE 5304 CHARLOTTE, NC 28262 (704) 869-5780 |
| 1134334295 | ORTHOCAROLINA PA Organization | Orthopaedic Surgery | 101 E WT HARRIS BLVD SUITE 1110 CHARLOTTE, NC 28262 (704) 339-1073 |
| 1407299795 | CAROLINAS MEDICAL CENTER-NORTHEAST Organization | Internal Medicine (Rheumatology) | 101 E WT HARRIS BLVD BLDG 3000, SUITE 3301-G CHARLOTTE, NC 28262 (704) 403-1308 |
| 1053754341 | CAROLINAS MEDICAL CENTER-NORTHEAST Organization | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 101 E WT HARRIS BLVD BLDG 3000, SUITE 3301-F CHARLOTTE, NC 28262 (704) 403-8320 |
| 1740300185 | LAURA L. LUPTON MD Individual | Family Medicine | 101 E WT HARRIS BLVD SUITE 5002 CHARLOTTE, NC 28262 (704) 863-9700 |
| 1043675861 | EMILY JOHNSTON RD Individual | Dietitian, Registered | 101 E WT HARRIS BLVD SUITE 2122B CHARLOTTE, NC 28262 (704) 863-6548 |
| 1356349914 | MR. MATTHEW G BAKER PA-C Individual | Physician Assistant (Medical) | 101 E WT HARRIS BLVD SUITE 5202 CHARLOTTE, NC 28262 (704) 547-1495 |
| 1710005087 | DR. JOSEPH JAMES DOERGER M.D. Individual | Surgery | 101 E WT HARRIS BLVD SUITE 5103 CHARLOTTE, NC 28262 (704) 547-9196 |
| 1902186968 | DEBORAH O KRAUSE NP-C Individual | Nurse Practitioner | 101 E WT HARRIS BLVD BUILDING 1000, SUITE 1110 CHARLOTTE, NC 28262 (704) 863-9850 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811904378, enumerated in the NPI registry as an "individual" on August 01, 2006
The provider is located at 101 E Wt Harris Blvd Cuite 300 Charlotte, Nc 28262 and the phone number is (704) 548-5780
The provider's speciality is Physical Therapist with taxonomy code 225100000X
The provider might be accepting Accepts: Blue Cross and Blue Shield of NC, BlueCross. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on August 01, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.