Debra Sue Clark, PT
NPI 1720178650ActiveIndividual· Physical Therapist, Orthopedic· Edmond, OK
Physical Therapist, Orthopedic (PT) with Fundamental Physical Therapy PLLC, practicing in Edmond, Oklahoma. Medicare paid $92,461 for services to 128 patients in 2024.
Overview
| NPI | 1720178650 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | No |
| NPI issued | Oct 13, 2006 |
| Last updated in NPPES | Dec 19, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist, Orthopedic Primary | 2251X0800X | PT 821 | OK |
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 (OK) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 128 |
|---|---|
| Services billed | 4,382 across 14 procedure codes |
| Paid by Medicare | $92,461 |
Education and affiliations
| Graduation year | 1979 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Fundamental Physical Therapy PLLCEdmond, OK · 2 clinicians
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