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

Mrs. Debra Sue Clark, PT

Individual provider Orthopedic Physical Therapist · NPI 1720178650

Mrs. Debra Sue Clark, PT is a Physical Therapist in Private Practice in Edmond, Oklahoma. Qualified in 1979, 47 years ago. Practices with Fundamental Physical Therapy PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
47
Licensed in
OK
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

3500 S Blvd Ste A
Edmond, OK 73013-5490
Phone: (405) 513-8118
Fax: (405) 513-6490
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence PT 821 (OK)

Record details

NPI number1720178650
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedOctober 13, 2006
Last updated in NPPESDecember 19, 2016

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1979 (47 years in practice)
Group practice Fundamental Physical Therapy Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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