Connie Clark, DPT, PT
NPI 1023500907ActiveIndividual· Physical Therapist· Lakeway, TX
Physical Therapist (DPT, PT) with Ati Holdings, LLC and 4 other groups, practicing in Lakeway, Texas. Medicare paid $63,565 for services to 69 patients in 2024.
Overview
| NPI | 1023500907 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT, PT |
| Sole proprietor | No |
| NPI issued | Jun 5, 2018 |
| Last updated in NPPES | Dec 21, 2023 |
| Certified by provider | Dec 21, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | TX |
| Physical Therapist | 225100000X | CP001210T | NH |
| Physical Therapist | 225100000X | PTL.0015088 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (AZ); Practitioner - Physical Therapist in Private Practice (CO); Practitioner - Physical Therapist in Private Practice (DE); Practitioner - Physical Therapist in Private Practice (IN); Practitioner - Physical Therapist in Private Practice (NV); Practitioner - Physical Therapist in Private Practice (SC); Practitioner - Physical Therapist in Private Practice (TX); Practitioner - Physical Therapist in Private Practice (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 69 |
|---|---|
| Services billed | 2,987 across 8 procedure codes |
| Paid by Medicare | $63,565 |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
| Telehealth | Offers telehealth |
Medical groups
- Ati Holdings, LLCJenkintown, PA · 443 clinicians
- Ideal Physical Therapy of Texas LLCCarrollton, TX · 364 clinicians
- Apple Physical Therapy LLCEverett, WA · 273 clinicians
- Rsfh - Ati Physical Therapy LLCSummerville, SC · 101 clinicians
- New Century Rehabilitation LLCLas Vegas, NV · 94 clinicians
Other physical therapists in Lakeway
- 1164098901
- 1457472680
- 1619646734
- 1669257978
- 1780138586
- 1821279340
- 1851157416
- 1881117471
- 1881292142
- 1952252751
- 1962116608
- 1003664582
All 58 physical therapists in Lakeway · All physical therapists in Texas