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Faith Clark , LPTA

Physical Therapy Assistant β€’ Waterloo, IL

Active NPI 1346699212 Individual Practitioner Female Practitioner
Practice location in NPPES

623 Hamacher St
Waterloo, IL 622981786

Call 6184203164 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

623 Hamacher St

Waterloo, IL 622981786

Telephone 6184203164
Organization at the Same NPPES Address or Phone
Monroe County Facility NPI 1548780828

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in Waterloo and Illinois

1 active clinicians are listed under Physical Therapy Assistant with a practice address in Waterloo, IL (2,717 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-12-15
Physical Therapy Assistant Primary Specialty

NUCC Taxonomy Code: 225200000X

(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient's responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Claire Burmester

Occupational Therapist

NPI 1659018851
Nicole Nissen

Nurse Practitioner - Family

NPI 1629569843

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location December 15, 2021

Registered at 623 HAMACHER ST, WATERLOO, IL 622981786 (Tel: 6184203164)

πŸ“
Updated Business Mailing Address December 15, 2021

Registered at 437 MOCKINGBIRD LN, WATERLOO, IL 622981279 (Tel: 6184203164)

πŸ‘€
Provider Name / Credentials Updated December 15, 2021

Recorded as FAITH CLARK, LPTA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 15, 2021

Physical Therapy Assistant

βœ…
NPI Profile Active June 10, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 10, 2016

Registered at 711 S KIRKWOOD RD, KIRKWOOD, MO 631225928 (Tel: 3149650864)

πŸ“
Business Mailing Address (Initial Record) June 10, 2016

Registered at 711 S KIRKWOOD RD, KIRKWOOD, MO 631225928 (Tel: 3149650864)

πŸ‘€
Provider Name / Credentials (Initial Record) June 10, 2016

Recorded as FAITH CLARK

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2016

Skilled Nursing Facility (license number reported to NPPES: MO 116923)

🟒
Initial NPI Registration & Enumeration June 10, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1346699212
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 10, 2016
Last Update: December 15, 2021
Sole Proprietor: Yes

Mailing Address

437 Mockingbird Ln

Waterloo, IL 622981279

Phone: 6184203164

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.