Clark Vandegraft, PTA
NPI 1215493358 · Physical Therapy Assistant · Peoria, IL
Clark Vandegraft, PTA is a Physical Therapy Assistant provider in Peoria, IL (NPI 1215493358).
Provider details
- NPI number
- 1215493358
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
83% 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
Mailing address
Registry dates
- Enumerated
- 2019-02-13
- Last updated
- 2019-02-13
Frequently asked questions
- What is Clark Vandegraft's NPI number?
- Clark Vandegraft's National Provider Identifier (NPI) is 1215493358, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Clark Vandegraft's specialty?
- Clark Vandegraft is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Clark Vandegraft located?
- Clark Vandegraft's practice location on file with NPPES is 3614 N Rochelle Ln, Peoria, IL 61604-1039.
- What is Clark Vandegraft's phone number?
- The practice phone number listed in the NPPES registry for Clark Vandegraft is (309) 688-0350.
- Is Clark Vandegraft's NPI active?
- Yes — Clark Vandegraft's NPI (1215493358) is active in the NPPES registry as of the last update on 2019-02-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.