Kelly Clark, DPT, PT, MT
NPI 1528614153 · Physical Therapist · Bloomington, IN
Kelly Clark, DPT, PT, MT is a Physical Therapist provider in Bloomington, IN (NPI 1528614153).
Provider details
- NPI number
- 1528614153
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT, PT, MT
- Sex
- Female
- Sole proprietor
- Yes
- License
- MT21304740 (IN)
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
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
- 2019-08-09
- Last updated
- 2019-08-09
Frequently asked questions
- What is Kelly Clark's NPI number?
- Kelly Clark's National Provider Identifier (NPI) is 1528614153, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Clark's specialty?
- Kelly Clark is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Kelly Clark located?
- Kelly Clark's practice location on file with NPPES is 2620 N Walnut St, Bloomington, IN 47404-2008.
- What is Kelly Clark's phone number?
- The practice phone number listed in the NPPES registry for Kelly Clark is (812) 558-0708.
- Is Kelly Clark's NPI active?
- Yes — Kelly Clark's NPI (1528614153) is active in the NPPES registry as of the last update on 2019-08-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.