P Praxis·MD
● Active Type 1 · Individual

Kelly Clark

Physical Therapy Assistant·Weatherford, TX· NPI 1053893073 · Enumerated 2018 · 7 years on NPI
Clark is 1 of 54 physical therapy assistant providers in Weatherford and 1 of 5445 in Texas.
NPI age
7 years
Enumerated 2018-09-06
Primary specialty
Physical Therapy Assistant
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-09-06
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 5445 active physical therapy assistant providers in Texas.

NPI age
7 years
≈ at median (7 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
5% of peers hold subspecialties

NPI lifetime · 2018 → 2026

2018-09Enumerated in NPPES
2018 2026

Where they practice

Practice location
970 Hilltop Dr
Weatherford, TX 760865488
📞 8178081633
Mailing address
3025 Yucca Rd
Willow Park, TX 760877116

Specialties

  • Physical Therapy Assistant Primary
    (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or...
    TX license #2109081 taxonomy 225200000X

Practice context

Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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