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Connie Clark is one of 332 physical therapists practicing in Dallas, Texas .
Connie Clark practices with Ideal Physical Therapy Of Texas LLC.
Registry record (NPPES)
NPI
1023500907
Type
Type 1 · Individual
Primary taxonomy
Physical Therapist · 225100000X
Address on file
2501 Ranch Road 620 S Ste 140 Lakeway, TX 78734-6416 (512) 527-6944
Enumerated
Jun 5, 2018
Record last updated
Dec 21, 2023
License states listed
CO, NH, TX
Medicare (CMS)
Enrollment
Medicare-enrolled in AZ, CO, DE, IN, NV, SC, TX, WAPhysical Therapist in Private Practice
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
4015 Lemmon Ave
Dallas , TX 75219
(469) 872-7461
More physical therapists in Dallas
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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