P Praxis·MD
● Active Type 1 · Individual

Pamela R. Clack, P.T.

Physical Therapist·Monroe, GA· NPI 1053476929 · Enumerated 2006 · 19 years on NPI
Clack is 1 of 3 physical therapist providers in Monroe and 1 of 278 in Georgia.
NPI age
19 years
Enumerated 2006-12-22
Primary specialty
Physical Therapist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 278 active physical therapist providers in Georgia.

NPI age
19 years
↑ 4 yr above median (15 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-12Enumerated in NPPES
2006 2026

Where they practice

Practice location
703 Kings Rdg
Monroe, GA 306552051
📞 7702075788fax 7702075708
Mailing address
1500 Launius Rd
Good Hope, GA 306412637
📞 7067520779fax 7067521596

Specialties

  • Physical Therapist Primary
    A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic...
    GA license #001415 taxonomy 2251P0200X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new physical therapist provider has been added in Monroe in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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