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

Connie Clark, DPT, PT

Individual provider Physical Therapist · NPI 1023500907

Connie Clark, DPT, PT is a Physical Therapist in Private Practice in Lakeway, Texas. Qualified in 2017, 9 years ago. Practices with Ati Holdings, LLC, a 439-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Colorado, New Hampshire and Texas.

Years since qualifying
9
Licensed in
CO, NH, TX
In the registry since
2018
Specialties on file
3
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

2501 Ranch Road 620 S Ste 140
Lakeway, TX 78734-6416
Phone: (512) 527-6944
Fax: (512) 572-7805
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 19280 Indian Summer Ln, Monument, CO 80132-9433 — (719) 640-7585

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (TX)
Physical Therapist Taxonomy 225100000X · Licence CP001210T (NH)
Physical Therapist Taxonomy 225100000X · Licence PTL.0015088 (CO)

Record details

NPI number1023500907
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT , PT
Sole proprietorNo
NPI enumeratedJune 5, 2018
Last updated in NPPESDecember 21, 2023
Certification dateDecember 21, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Ati Holdings, Llc — 439 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Lakeway