Chrystal C Clark, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1271135 Issued in TX

Practice address

5250 Highway 78 Ste 200
Sachse, TX 75048-4253

Phone

(972) 244-4270

Fax

(972) 476-9903

NPI assigned

Feb 17, 2016

Last updated

Mar 23, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• BCT Therapy Management LLC

  dba FYZICAL Therapy and Balance Centers

  • Physical Therapy Clinic/Center
  • Colleyville, TX
  • NPI 1538878038
  Medicare reassignment NPD
• Empower Physical Therapy TX LLC

  • Physical Therapist
  • North Richland Hills, TX
  • NPI 1588205033
  Medicare reassignment NPD
• DPT Holdings, LLC

  dba Doctors of Physical Therapy

  • Physical Therapist
  • Plainfield, IL
  • NPI 1689648602
  NPD
• Balanced Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Colleyville, TX
  • NPI 1477457638
  NPD (past)
• Premier Rehab, P.C.

  • Physical Therapist
  • North Richland Hills, TX
  • NPI 1609886472
  NPD (past)

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1396104485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "630-575-6250",
            "fax_number": "630-575-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 HIGHWAY 78 STE 200",
            "city": "SACHSE",
            "state": "TX",
            "postal_code": "750484253",
            "telephone_number": "972-244-4270",
            "fax_number": "972-476-9903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "CHRYSTAL",
        "middle_name": "C",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-17",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "1271135",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1271135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Eugene Carter, DDS
• Mike Cerda
• Chloe Chen, DMD
• Ijedima Ngene Chukwu, PHARMD
• City of Sachse Texas (City of Sachse Fire Dept)
• Daniel Coleman
• Compassion Corral
• Ellen Kay Conforti, RN
• Hypatia Copple, PT
• Creativepaths ABA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.