Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fundamental Physical Therapy PLLC

Organization Physical Therapy Clinic/Center · NPI 1215266671

Fundamental Physical Therapy PLLC is a Physical Therapy Clinic/Center in Edmond, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2009.

Licensed in
OK
In the registry since
2009
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3500 S Blvd Ste A1
Edmond, OK 73013-5486
Phone: (405) 518-8118
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X · Licence 821 (OK)

Record details

NPI number1215266671
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Debra Clark — Owner · (405) 513-8118
NPI enumeratedDecember 15, 2009
Last updated in NPPESSeptember 1, 2015
Mailing addressPo Box 3542, Edmond, OK 73083-3542

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