Ebony Jackson Clark, PT, DPT
NPI 1417502766 · Physical Therapist · Bethesda, MD
Ebony Jackson Clark, PT, DPT is a Physical Therapist provider in Bethesda, MD (NPI 1417502766).
Provider details
- NPI number
- 1417502766
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT
- Sex
- Female
- Sole proprietor
- No
- License
- PT027785 (PA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
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
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Additional practice locations (2)
- 1828 E Florence Blvd Ste 102Casa Grande, AZ 85122-4783Phone: (520) 510-0360
- 625 Walnut StMckeesport, PA 15132-2806Phone: (412) 673-5005
Registry dates
- Enumerated
- 2019-08-05
- Last updated
- 2025-02-18
- Certified
- 2025-02-13
Frequently asked questions
- What is Ebony Jackson Clark's NPI number?
- Ebony Jackson Clark's National Provider Identifier (NPI) is 1417502766, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ebony Jackson Clark's specialty?
- Ebony Jackson Clark is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Ebony Jackson Clark located?
- Ebony Jackson Clark's practice location on file with NPPES is 4494 Palmer Rd N, Bethesda, MD 20814.
- What is Ebony Jackson Clark's phone number?
- The practice phone number listed in the NPPES registry for Ebony Jackson Clark is (301) 400-2666.
- Is Ebony Jackson Clark's NPI active?
- Yes — Ebony Jackson Clark's NPI (1417502766) is active in the NPPES registry as of the last update on 2025-02-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.