IndividualActive
Jennifer Clark, PTA
NPI 1972803476 · Physical Therapy Assistant · Etowah, TN
Provider details
- NPI number
- 1972803476
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- PTA4826 (TN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
878 Highway 411 N
Etowah, TN 37331-1912
Phone: (423) 263-7070
Fax: (423) 263-7077
Street-level locationGet directions
Mailing address
8823 Production Ln
Ooltewah, TN 37363-6511
Registry dates
- Enumerated
- 2010-10-30
- Last updated
- 2010-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.