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

Norris Clark III

Individual provider Physical Therapist · NPI 1558978742

Norris Clark III is a Physical Therapist in Private Practice in Dallas, Texas. Qualified in 2020, 6 years ago. Practices with Ideal Physical Therapy of Texas LLC, a 360-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee and Texas.

Years since qualifying
6
Licensed in
TN, TX
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

6333 E Mockingbird Ln Ste 139
Dallas, TX 75214-2376
Phone: (469) 872-7473
Fax: (469) 466-1505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1272 Garrison Dr Ste 303, Murfreesboro, TN 37129-0053 — (615) 849-9358

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (TX)
Physical Therapist Taxonomy 225100000X · Licence 13079 (TN)

Record details

NPI number1558978742
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 30, 2020
Last updated in NPPESAugust 12, 2025
Certification dateAugust 12, 2025
Mailing address2001 Butterfield Rd Ste 1600, Downers Grove, IL 60515-1211

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Ideal Physical Therapy Of Texas Llc — 360 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Dallas