MEDICARE: MRS. APRIL NICOLE CLARK PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	7052PT	TN
2	225100000X	Physical Therapist	PT41861	FL

General Provider Information

NPI Number	:	1144342098
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. APRIL NICOLE CLARK PT

Provider Business Mailing Address
First Line	:	1695 VALPARAISO BLVD
Second Line	:
City	:	NICEVILLE
State	:	FL
Zip	:	32578-2950
Country	:	US
Telephone Number	:	423-503-8000
Fax Number	:

Provider Business Practice Location Address
First Line	:	996 AIRPORT RD
Second Line	:
City	:	DESTIN
State	:	FL
Zip	:	32541-2824
Country	:	US
Telephone Number	:	850-863-7651
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/04/2007
Last Update Date	:	09/02/2025

Similar Medicare Providers

1346193125 — KAMMRIN MAHONEY
Practice Location Address:

996 AIRPORT RD
DESTIN, FL
32541-2824

Practice Phone: 850-863-7651
Practice Fax:

1639020530 — AMBER CAREY
Practice Location Address:

996 AIRPORT RD
DESTIN, FL
32541-2824

Practice Phone: 678-800-5443
Practice Fax:

1427043462 — STERLING EMERGENCY SERVICES OF FLORIDA, PA
Practice Location Address:

996 AIRPORT RD
DESTIN, FL
32541-2824

Practice Phone: 850-837-9194
Practice Fax:

1275601023 — DESTIN PRIMARY CARE LLC
Practice Location Address:

996 AIRPORT RD , SUITE E 103
DESTIN, FL
32541-2824

Practice Phone: 850-837-5562
Practice Fax: 850-837-6085

1194917484 — IN YOUR DREAMS INTERNATIONAL INC
Practice Location Address:

996 AIRPORT RD , SUITE G-105
DESTIN, FL
32541-2824

Practice Phone: 850-269-1322
Practice Fax:

1396980926 — EMERALD COAST EMERGENCY PHYSICIANS LLP
Practice Location Address:

996 AIRPORT RD
DESTIN, FL
32541-2824

Practice Phone: 850-837-9194
Practice Fax:

Directions to “ MRS. APRIL NICOLE CLARK PT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.