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

Individual provider Physical Therapist · NPI 1417296260

Bethany Clark, PT, DPT is a Physical Therapist in Palm Coast, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2013
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

9 Pine Cone Dr Ste 104B
Palm Coast, FL 32137-8683
Phone: (386) 446-9716
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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 PT28112 (FL)

Record details

NPI number1417296260
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedFebruary 13, 2013
Last updated in NPPESApril 29, 2019
Mailing address108 Camden Cay Dr, St Augustine, FL 32086-1814

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