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

Individual provider Physical Therapist · NPI 1790520419

Tara Clennon, PT, DPT is a Physical Therapist in Fort Lauderdale, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2024
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2601 W Broward Blvd # 432
Fort Lauderdale, FL 33312-1308
Phone: (954) 678-9777
Fax: (954) 872-1921
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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 PT41778 (FL)

Record details

NPI number1790520419
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedJune 25, 2024
Last updated in NPPESApril 30, 2026
Certification dateApril 30, 2026

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