Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Mr. Chad Alan Clark, MSPT
Physical Therapist in Pueblo, CO · enumerated 2005.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1083617906
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Registry record
Entity type Individual (Type 1)
Name Mr. Chad Alan Clark
Credential MSPT
Sex Male
Practice address 58 Glenroyal Dr, Pueblo, CO, 81005
Phone (719) 565-6678
Fax (719) 561-0577
Enumeration date May 24, 2005
Last updated in NPPES Sep 1, 2011
Taxonomy & licenses
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 5835 (CO) Primary
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36630233 | Medicaid | CO | - |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
What is the NPI number for Chad Clark?
The National Provider Identifier (NPI) for Chad Clark is 1083617906, a Type 1 (individual) record in the CMS NPPES registry.
Where does Chad Clark practice?
The practice location on file with NPPES is in Pueblo, CO. Providers can have multiple locations; NPPES lists the primary practice address.
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-09-01.