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

Chandler Clark, PTA

Individual provider Physical Therapy Assistant · NPI 1619704178

Chandler Clark, PTA is a Physical Therapy Assistant in Coppell, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2024
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

3100 Olympus Blvd Ste 500
Coppell, TX 75019-5473
Phone: (214) 442-4329
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2182964 (TX)

Record details

NPI number1619704178
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedSeptember 18, 2024
Last updated in NPPESSeptember 18, 2024
Certification dateSeptember 18, 2024
Mailing address5401 Hollytree Dr Apt 3002, Tyler, TX 75703-3486

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