| Shelby Layne Clark, DPT | |
|
11100 Highway 165 Ste 5, North Little Rock, AR 72117-9781 | |
| (501) 945-0200 | |
| (501) 945-0245 |
| Full Name | Shelby Layne Clark |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 11100 Highway 165 Ste 5, North Little Rock, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730808494 | NPI | - | NPPES |
| 1367761 | Other | TX | TEXAS BOARD OF PHYSICAL THERAPY EXAMINERS |
| PT5170 | Other | AR | ARKANSAS DEPARTMENT OF HEALTH STATE BOARD OF PHYSICAL THERAPY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251P0200X | Physical Therapist - Pediatrics | 1367761 (Texas) | Secondary |
| 225100000X | Physical Therapist | 1367761 (Texas) | Primary |
| Provider Name | Pearson Pediatric Ot Services |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1629356027 PECOS PAC ID: 6800203449 Enrollment ID: O20210329001051 |
| Mailing Address | Practice Location Address |
|---|---|
| Shelby Layne Clark, DPT Po Box 5718, Kalispell, MT 59903-5718 Ph: (406) 756-0134 | Shelby Layne Clark, DPT 11100 Highway 165 Ste 5, North Little Rock, AR 72117-9781 Ph: (501) 945-0200 |
Catherine Denise Miller, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2200 Fort Roots Dr, North Little Rock, AR 72114 Phone: 501-257-3035 | |
Deidre Leigh Cravens, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4540 John F Kennedy Blvd, North Little Rock, AR 72116 Phone: 501-758-5555 Fax: 501-758-5941 | |
Laurie Ann Berry, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4107 Richards Rd, North Little Rock, AR 72117 Phone: 501-955-2220 | |
Darby Smith, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 4107 Richards Rd, North Little Rock, AR 72117 Phone: 501-955-2220 | |
Progressive Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 505 W Pershing Blvd, Suite D, North Little Rock, AR 72114 Phone: 501-753-5189 Fax: 501-753-0255 | |
Mrs. Robyn Scot Porter, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 36 Oak Tree Cir, North Little Rock, AR 72116 Phone: 501-812-5251 | |
Daniel Warren, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4801 Fairway Ave, North Little Rock, AR 72116 Phone: 501-758-1300 Fax: 501-758-1316 |