Audrey Clarke, PT, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

1389434 Issued in TX

Practice address

3607 Menchaca Rd
Austin, TX 78704-5947

Phone

(512) 444-7219

Fax

(512) 982-4331

NPI assigned

Feb 13, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rebecca Pokluda, P.C.

  • Pediatric Occupational Therapist
  • Austin, TX
  • NPI 1194807081

  Multi-Specialty

  NPD
• Capital Therapy Group, LLC

  • Speech-Language Pathologist
  • Austin, TX
  • NPI 1982091500

  Multi-Specialty

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1073377677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3607 MENCHACA RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787045947",
            "telephone_number": "512-444-7219",
            "fax_number": "512-982-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3607 MENCHACA RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787045947",
            "telephone_number": "512-444-7219",
            "fax_number": "512-982-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "AUDREY",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TX",
            "license": "1389434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Piper Lindsley Clark
• Rebecca Elaine Clark, RPH
• Shamyra Clark
• Stacey Leigh Clark, MD
• Stephen Sidney Clark, M.D.
• Consuelo Venegas Clarke, APRN
• Dave F Clarke, MD
• Emily Lynn Clarke, MD
• Erica Clarke
• Ewa T Clarke, HC

• Pediatric Physical Therapist in Austin, TX
• Providers in Austin, TX by specialty
• Pediatric Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.