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

Lake Fork Physical Therapy, PLLC

Organization Physical Therapist · NPI 1154540540

Lake Fork Physical Therapy, PLLC is a Physical Therapist in Emory, Texas. Licensed in Texas. Registered with an NPI since 2007.

Licensed in
TX
In the registry since
2007
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

903 E Lennon St Ste 101
Emory, TX 75440
Phone: (903) 474-9436
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1124006 (TX)

Record details

NPI number1154540540
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Bacon — Licensed Physical Therapist · (903) 474-9436
NPI enumeratedApril 24, 2007
Last updated in NPPESJuly 8, 2014
Mailing address903 East Lennon Street, Suite 101, Emory, TX 75440

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