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

Individual provider Physical Therapist · NPI 1528612850

Carly Paige Roark, DPT is a Physical Therapist in Shreveport, Louisiana. Works from 2 locations. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1450 Claiborne Ave
Shreveport, LA 71103-4204
Phone: (318) 813-2970
Fax: (318) 813-2981
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 29185 Highway 191, Many, LA 71449-6313 — (318) 590-9140

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 10261

Record details

NPI number1528612850
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedJuly 25, 2019
Last updated in NPPESFebruary 10, 2022
Certification dateFebruary 10, 2022

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