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

Nathan Clark

Individual provider Physical Therapist · NPI 1932763570

Nathan Clark is a Physical Therapist in Private Practice in Coppell, Texas. Qualified in 2016, 10 years ago. Practices with Jackson Parish Therapy Center, LLC, a 25-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
10
Licensed in
SC
In the registry since
2019
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Practice location Address checks out

3100 Olympus Blvd Ste 500
Coppell, TX 75019-5473
Phone: (866) 221-5405
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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 9613 (SC)

Record details

NPI number1932763570
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 29, 2019
Last updated in NPPESApril 29, 2019
Mailing address366 Stow Creek Rd, Ruston, LA 71270-1643

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Jackson Parish Therapy Center, Llc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Coppell