Individual provider · Type 1 NPI

Jessica I. Clark, LPTA

Physical Therapy Assistant · Lexington, VA

NPI number 1104731389 Active

Practice location

160 Kendal Dr Apt 200
Lexington, VA 24450-1790

Mailing address

PO Box 673
Troutville, VA 24175-0673

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2306605516 (VA)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1104731389

Jessica I. Clark, LPTA's National Provider Identifier is 1104731389, issued on Aug 14, 2026. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Lexington, VA. The record was last updated on Aug 14, 2026.