Charles Clark, PT
NPI 1225052210 · Physical Therapist · Louisville, KY
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Charles Clark, PT is a Physical Therapist provider in Louisville, KY (NPI 1225052210).
Provider details
- NPI number
- 1225052210
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- License
- 003320 (KY)
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 tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
2,032 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Therapy Procedure Using Functional Activities97530 | 628 | $30 |
| Therapy Procedure Using Manual Technique, Each 15 Minutes97140 | 531 | $20 |
| Therapy Procedure to Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes97112 | 383 | $24 |
| Therapy Procedure Using Exercise to Develop Strength, Endurance, Range of Motion, and Flexibility, Each 15 Minutes97110 | 323 | $21 |
| Therapy Procedure in a Group Setting97150 | 116 | $13 |
| Evaluation for Physical Therapy, Typically 30 Minutes97162 | 51 | $93 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-26
- Last updated
- 2019-08-13
Frequently asked questions
- What is Charles Clark's NPI number?
- Charles Clark's National Provider Identifier (NPI) is 1225052210, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Charles Clark's specialty?
- Charles Clark is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Charles Clark located?
- Charles Clark's practice location on file with NPPES is 805 Blankenbaker Pkwy, Louisville, KY 40243-1894.
- What is Charles Clark's phone number?
- The practice phone number listed in the NPPES registry for Charles Clark is (502) 253-0833.
- Does Charles Clark accept Medicare?
- Charles Clark is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Charles Clark's NPI active?
- Yes — Charles Clark's NPI (1225052210) is active in the NPPES registry as of the last update on 2019-08-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.