● Active Type 1 · Individual

MRS. Melissa Clark, PT

Physical Therapist·Southlake, TX· NPI 1609585256 · Enumerated 2022 · 3 years on NPI

Clark is 1 of 114 physical therapist providers in Southlake and 1 of 16582 in Texas.

NPI age

3 years

Enumerated 2022-11-22

Primary specialty

Physical Therapist

Plus 1 subspecialty

Licensed in

1 state

Status

Active

No deactivations on record

Last NPPES update

2022-11-22

Source: monthly bulk 2026-05

Sole proprietor

Yes

Solo practice on file

How this provider compares

Across 16582 active physical therapist providers in Texas.

NPI age

3 years

↓ 6 yr below median (9 yr)

State licenses

1 state

6% of peers hold multiple states

Subspecialties

In the 13% of peers with subspecialties

NPI lifetime · 2022 → 2026

2022-11Enumerated in NPPES

2022 2026

Where they practice

Practice location

910 E Southlake Blvd Ste 155

Southlake, TX 760926389

📞 8174215000fax 9725068733

Mailing address

400 W Lbj Fwy Ste 330

Irving, TX 750633717

📞 9725562885fax 9725068733

Additional practice locations

2 secondary locations on file with NPPES.

Location 2

7501 Las Colinas Blvd Ste 125

Irving, TX 750637004

📞 9725562885 x1701fax 9725068733

Location 3

400 W Lbj Fwy Ste 330

Irving, TX 750633717

📞 9725562885 x1601fax 9725068733

Specialties

Respiratory, Developmental, Rehabilitative and Restorative Service Providers › Physical Therapist

Physical Therapist Primary

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities...

TX license #1116291 taxonomy 225100000X
Physical Therapist

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology,...

TX license #1116291 taxonomy 2251X0800X

Practice context

Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new physical therapist provider has been added in Southlake in the last 180 days. See all →

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How to verify this provider

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