IndividualActive
Adam Clark, PT, DPT, OCS, COMT
NPI 1083138473 · Orthopedic Physical Therapist · Grand Rapids, MI
Provider details
- NPI number
- 1083138473
- Entity type
- Individual
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT, OCS, COMT
- Sex
- Male
- Sole proprietor
- No
- License
- 007201 (KY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2591 44th St Se Ste 101
Grand Rapids, MI 49512-9094
Phone: (616) 281-9237
Fax: (616) 281-3115
Approximate (ZIP-level) locationGet directions
Mailing address
2591 44th St Se Ste 101
Grand Rapids, MI 49512-9094
Registry dates
- Enumerated
- 2017-07-27
- Last updated
- 2022-10-25
- Certified
- 2022-10-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.