Amy Clark, MPT
NPI 1265542740ActiveIndividual· Physical Therapist· Fort Worth, TX
Physical Therapist (MPT) with Sportherapy LLC, practicing in Fort Worth, Texas. Medicare paid $55,036 for services to 52 patients in 2024. A record with the same name and state is on the OIG exclusion list; it carries no NPI, so check it before acting.
Overview
| NPI | 1265542740 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MPT |
| Sole proprietor | No |
| NPI issued | Aug 30, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 1151652 | TX |
Exclusion screening
Possible match: verify before acting. The OIG list has a record with the same name in Texas, but that record carries no NPI, so it may be a different person or business.
| Matched by | Name on OIG list | Exclusion type | Excluded since | Location |
|---|---|---|---|---|
| Name + state | Amy J. Clark · Technician | 1128b4 | Sep 20, 2010 | Grand Prairie, TX |
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | Possible (name) | See above |
| 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 (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 52 |
|---|---|
| Services billed | 2,535 across 9 procedure codes |
| Paid by Medicare | $55,036 |
Education and affiliations
| Graduation year | 2003 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Sportherapy LLCFort Worth, TX · 46 clinicians
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