IndividualActive
Amanda Clark, PT
NPI 1043554256 · Physical Therapist · Bloomington, IN
Provider details
- NPI number
- 1043554256
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- License
- 05007177A (IN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1312 W Arch Haven Ave Bldg 1320
Suite E
Bloomington, IN 47403-2089
Phone: (812) 336-8406
Fax: (812) 336-8342
Street-level locationGet directions
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Registry dates
- Enumerated
- 2012-11-15
- Last updated
- 2015-02-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.