MEDICARE: PEGGY 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	208100000X	Physical Medicine & Rehabilitation Physician	3299	CO

General Provider Information

NPI Number	:	1952329112
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PEGGY CLARK PT

Provider Business Mailing Address
First Line	:	1594 ASTER CT
Second Line	:
City	:	SUPERIOR
State	:	CO
Zip	:	80027-6032
Country	:	US
Telephone Number	:	720-312-8332
Fax Number	:

Provider Business Practice Location Address
First Line	:	2751 W 120TH AVE STE 200
Second Line	:
City	:	WESTMINSTER
State	:	CO
Zip	:	80234-2979
Country	:	US
Telephone Number	:	303-465-6332
Fax Number	:

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

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	06/16/2016

Similar Medicare Providers

1679727457 — DR. JOSHUA ADAM VICKERS D.C.
Practice Location Address:

2751 W 120TH AVE STE 200
WESTMINSTER, CO
80234-2979

Practice Phone: 303-465-6332
Practice Fax: 303-465-6349

1558673459 — MR. JEFFREY DAVID BURT LPC, LAC
Practice Location Address:

5850 CENTRAL AVE UNIT 327
WESTMINSTER, CO
80031-2979

Practice Phone: 720-636-5922
Practice Fax:

1013298041 — PINNACLE FOOT AND ANKLE CLINIC, INC.
Practice Location Address:

12213 PECOS ST STE 400
WESTMINSTER, CO
80234-3414

Practice Phone: 720-917-9022
Practice Fax: 720-379-6759

1134560741 — DR. JACOB COLE STUART D.P.M
Practice Location Address:

12213 PECOS ST STE 400
WESTMINSTER, CO
80234-3414

Practice Phone: 720-917-9022
Practice Fax:

1225554561 — GOLDSTAR LEARNING OPTIONS, INC
Practice Location Address:

12195 MARIPOSA ST
WESTMINSTER, CO
80234-3415

Practice Phone: 303-327-9738
Practice Fax: 720-983-3166

1033116272 — DR. RAJESH K SHARMA M.D.,F.A.C.C.
Practice Location Address:

905 W 124TH AVE STE 150
WESTMINSTER, CO
80234-1718

Practice Phone: 720-772-8040
Practice Fax: 720-805-1551

Directions to “ PEGGY 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.