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Gavin Clark, PT

Physical Therapist in Dewitt, MI · enumerated 2025 · practices at Jdr74 Holdings, LLC.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1952271975

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Registry record

Entity type Individual (Type 1)
Name Gavin Clark
Credential PT
Sex Male
Practice address 13060 S Us Highway 27 Ste C4, Dewitt, MI, 48820
Phone (517) 668-6561
Fax (517) 306-2372
Enumeration date Nov 5, 2025
Last updated in NPPES Nov 5, 2025

Taxonomy & licenses

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 5501303924 (MI) Primary
PT · Physical Therapist: A licensed movement specialist treating injury and disability through exercise and rehabilitation. About the PT credential

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.

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Frequently asked questions

Where does Gavin Clark practice?
The practice location on file with NPPES is in Dewitt, MI. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Gavin Clark?
The National Provider Identifier (NPI) for Gavin Clark is 1952271975, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-11-05.