P Praxis·MD
● Active Type 1 · Individual

MR. Timothy Ross Clark, PTA

Physical Therapy Assistant·Twin Falls, ID· NPI 1154665446 · Enumerated 2012 · 13 years on NPI
Clark is 1 of 8 physical therapy assistant providers in Twin Falls and 1 of 272 in Idaho.
NPI age
13 years
Enumerated 2012-11-27
Primary specialty
Physical Therapy Assistant
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-11-27
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 272 active physical therapy assistant providers in Idaho.

NPI age
13 years
↑ 4 yr above median (9 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
7% of peers hold subspecialties

NPI lifetime · 2012 → 2026

2012-11Enumerated in NPPES
2012 2026

Where they practice

Practice location
201 10th Ave N
Twin Falls, ID 833016372
📞 2087344264
Mailing address
201 10th Ave N
Twin Falls, ID 833016372

Specialties

  • Physical Therapy Assistant Primary
    (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...
    ID license #PTA168 taxonomy 225200000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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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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