# JAMES R. CLARKE, P.T.,P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306999701
- **Authorized official:** MR. JAMES RICHARD CLARKE P.T. (PRESIDENT)
- **Authorized official phone:** (301) 770-3133

## Contact information

- **Practice address:** 11820 PARKLAWN DR, SUITE 180, ROCKVILLE, MD 20852-2529
- **Practice address phone:** (301) 770-3133
- **Practice address fax:** (301) 770-3015
- **Mailing address:** 11820 PARKLAWN DR, SUITE 180, ROCKVILLE, MD 20852-2529
- **Mailing address phone:** (301) 770-3133
- **Mailing address fax:** (301) 770-3015

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 15975 | MD | Yes |

## Other

- **Enumeration date:** 01/19/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | LZ29JA | CAREFIRST GROUP NUMBER | MD |
| 01 | — | S881 | CAREFIRST DC GROUP NUMBER | MD |
