Connie Clark, DPT, PT - Medicare Physical Therapist in Lakeway, TX

Connie Clark, DPT, PT is a medicare enrolled "Physical Therapist" provider in Lakeway, Texas. Her current practice location is 2501 Ranch Road 620 S Ste 140, Lakeway, Texas. You can reach out to her office (for appointments etc.) via phone at (512) 527-6944.

Connie Clark is licensed to practice in Texas (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1023500907.

Contact Information

Connie Clark, DPT, PT
2501 Ranch Road 620 S Ste 140,
Lakeway, TX 78734-6416
(512) 527-6944
(512) 572-7805

Map and Direction




Healthcare Provider's Profile

Full NameConnie Clark
GenderFemale
SpecialityPhysical Therapist
Location2501 Ranch Road 620 S Ste 140, Lakeway, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023500907
  • Provider Enumeration Date: 06/05/2018
  • Last Update Date: 12/21/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1355686361
  • Enrollment ID: I20181219003243

Medical Identifiers

Medical identifiers for Connie Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023500907NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist CP001210T (New Hampshire)Secondary
225100000XPhysical Therapist PTL.0015088 (Colorado)Secondary
225100000XPhysical Therapist (Texas)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Connie Clark allows following entities to bill medicare on her behalf.
Provider NameScl Health Medical Group - Denver Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1083021083
PECOS PAC ID: 0840513552
Enrollment ID: O20150106000131
Provider NameCentura Ventures Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1073882197
PECOS PAC ID: 8628989043
Enrollment ID: O20181221002214
Provider NameLegacy Healthcare Services Inc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1164620084
PECOS PAC ID: 2163339722
Enrollment ID: O20200204000475
Provider NameColorado Luna Care Physical Therapy Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1891461125
PECOS PAC ID: 7517363617
Enrollment ID: O20210914002694

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Connie Clark is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Connie Clark, DPT, PT
790 Remington Blvd,
Bolingbrook, IL 60440-4909

Ph: () -
Connie Clark, DPT, PT
2501 Ranch Road 620 S Ste 140,
Lakeway, TX 78734-6416

Ph: (512) 527-6944

Reviews and Comments


Physical Therapist in Lakeway, TX

Body Balance Lakeway
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Paul James Hendricks, PT
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Medicare: Accepting Medicare Assignments
Practice Location: 1602 Lohmans Crossing Rd, Lakeway, TX 78734
Phone: 512-261-8699    Fax: 512-261-2237
Dr. Catherine Winsby Casto, DPT
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Medicare: Not Enrolled in Medicare
Practice Location: 200 Medical Pkwy Ste 260, Lakeway, TX 78738
Phone: 737-237-0016    
Deborah Kang, DPT
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Medicare: Not Enrolled in Medicare
Practice Location: 200 Medical Pkwy Ste 260, Lakeway, TX 78738
Phone: 214-684-3748    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.