Cameron Clark, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1407345 Issued in TX

Practice address

11049 Memorial Hermann Dr Ste 150
Pearland, TX 77584-3307

Phone

(713) 436-8869

NPI assigned

Aug 26, 2025

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Memorial Hermann Health System

  • Community/Retail Pharmacy
  • Houston, TX
  • NPI 1366229619
  NPD (past)

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

{
    "created_epoch": "1756166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1104704063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11049 MEMORIAL HERMANN DR STE 150",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775843307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11049 MEMORIAL HERMANN DR STE 150",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775843307",
            "telephone_number": "713-436-8869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "CAMERON",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-08-26",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1407345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Circle of Light Providers Incorporated
• Zeinabou Cissokho
• City of Pearland
• Clarity Counseling and Consultants
• Annaliese Marie Clark, MA, CCC-SLP
• Chanelle Jacora Matthews Clark, MD
• Donna C Clark, AUD
• Kisha M Clark
• Pamela Clark, DDS
• Talya Clay

• Physical Therapist in Pearland, TX
• Providers in Pearland, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; 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.