Crystal Nichols Clark, LPTA
Physical Therapy Assistant · Rustburg, VA
Crystal Nichols Clark, LPTA is a physical therapy assistant with a practice address in Rustburg, Virginia, and NPI 1104155480, issued on Dec 15, 2009. Check the license (Virginia 2306001767, as entered in NPPES) with the Virginia board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Crystal Nichols Clark
- Credential
- LPTA
- Primary taxonomy
- Physical Therapy Assistant 225200000X
- License number
- 2306001767 VA
Self-reported in NPPES; status is on the state search - Practice location
- 4968 Bethany RD, Rustburg, VA 24588
- Phone
- (434) 845-3554
- Enumerated
- Dec 15, 2009
- Record last updated
- Dec 15, 2009 (not updated in 17 years: call before relying on the address or phone)
- Entity
- Type 1 · individual
Verify Crystal Nichols Clark in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Virginia board licenses this profession
Search for license 2306001767Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
4 physical therapy assistant records list a practice address in Rustburg
They are 4 of the 64 NPPES records with a practice address in Rustburg, and 1,780 physical therapy assistant records in Virginia. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 4 in Rustburg → All 1,780 in Virginia → Every provider in Rustburg →
Other physical therapy assistant records in Virginia
- Taha Abdur RahmanWoodbridge, VA1255839619
- Donna AbellHampton, VA1952633075
- Alayna AcostaRoanoke, VA1932930211
- Javier Acosta, LPTALynchburg, VA1336894302
- Salma Adam, PTAAlexandria, VA1801551239
- Clarise AdamsMount Jackson, VA1912672650
- Deborah AdamsSterling, VA1114041357
- Heather Adams, LPTAGlen Allen, VA1154613776
- Lori Adams, PTANewport News, VA1386278448
- Amanda AdjeteyHarrisonburg, VA1659753663
Common questions
What is Crystal Nichols Clark, LPTA's NPI number?
Crystal Nichols Clark, LPTA's National Provider Identifier (NPI) is 1104155480, issued on Dec 15, 2009. An NPI identifies a provider in billing; it is not a license.
Where is Crystal Nichols Clark, LPTA located?
The NPPES record lists a practice address at 4968 Bethany RD, Rustburg, VA, 24588. Phone: (434) 845-3554. Providers update this record themselves, so call before visiting.
How can I verify Crystal Nichols Clark, LPTA's license?
NPPES lists Virginia license number 2306001767, as entered by the provider. Search the Virginia board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.