P Praxis·MD
● Active Type 1 · Individual

MISS Sherry Clark, PTA

Physical Therapy Assistant·Conyers, GA· NPI 1275131344 · Enumerated 2020 · 5 years on NPI
Clark is 1 of 8 physical therapy assistant providers in Conyers and 1 of 1124 in Georgia.
NPI age
5 years
Enumerated 2020-10-12
Primary specialty
Physical Therapy Assistant
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-10-12
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1124 active physical therapy assistant providers in Georgia.

NPI age
5 years
↓ 4 yr below median (9 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
1
In the 8% of peers with subspecialties

NPI lifetime · 2020 → 2026

2020-10Enumerated in NPPES
2020 2026

Where they practice

Practice location
2395 Wall St Se Ste 176
Conyers, GA 300136703
📞 7706791553fax 8666664344
Mailing address
2395 Wall St Se Ste 176
Conyers, GA 300136703
📞 7706791553fax 8666664344

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...
    GA license #PTA004524 taxonomy 225200000X
  • Physical Medicine & Rehabilitation
    Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from...
    GA license #PTA004524 taxonomy 208100000X

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

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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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