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MRS. DEBRA SUE CLARK PT
NPI 1720178650
Physical Therapist - Orthopedic in Edmond, OK

Active since October 13, 2006Accepts Medicare Assignment
3500 S BOULEVARD, SUITE A, EDMOND, OK 73013(405) 513-8118(405) 513-6490 Get Directions Write a Review

NPPES record last updated: December 19, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Debra Sue Clark Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. DEBRA SUE CLARK PT (NPI 1720178650) is an individual orthopedic provider in Edmond, Oklahoma, licensed in Oklahoma (PT 821) and active in the NPI registry since October 2006. She is a graduate of Other (1979).

NPPES Registry Identity

NPI1720178650
Entity TypeIndividualFemale
Primary Taxonomy2251X0800X
Provider Legal NameMRS. DEBRA SUE CLARKCredential: PT
Location Address3500 S BOULEVARD, SUITE AEdmond, OK 73013-5490
Mailing Address3500 S Boulevard, Ste A1Edmond, OK 73013-5490 · (405) 513-8118 · Fax (405) 513-6490
Phone(405) 513-8118
Fax(405) 513-6490
Sole ProprietorNo
Medical School CMSOtherGraduated 1979
Enumeration DateOctober 13, 2006
Last NPPES UpdateDecember 19, 2016
✔ NPI 1720178650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in OK · PT 821
Definition
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, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
3500 S BOULEVARD, Edmond, OK 73013
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Debra Sue Clark Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365585247
PECOS Enrollment IDI20100201000157

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
965 services124 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
946 services125 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
765 services65 patients
Application of ultrasound, each 15 minutes 97035
Ultrasound is a medical procedure that uses high-frequency sound waves to capture live images from inside your body. It's a painless process typically lasting 15 minutes per session. This method aids in diagnosing conditions and monitoring health without any radiation exposure.
546 services55 patients
Biofeedback training for bowel or bladder control, initial 15 minutes 90912
Biofeedback training helps manage bowel or bladder control issues. It involves using sensors to monitor specific body functions. The first 15-minute session allows you to understand and control these functions to improve health and performance.
408 services97 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
333 services49 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%82 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GENERATIONS
Registered Nurse (Home Health)
3500 S BOULEVARD, STE C-10
EDMOND, OK 73013
Oklahoma County (405) 651-8462
FUNDAMENTAL PHYSICAL THERAPY PLLC
Clinic/Center (Physical Therapy)
3500 S BOULEVARD, SUITE A1
EDMOND, OK 73013
Oklahoma County (405) 518-8118
HEALTHCOMP LTD
Home Health
3500 S BOULEVARD, SUITE A-2
EDMOND, OK 73013
Oklahoma County (405) 340-5100
MELISSA MILLIGAN R.D., L.D.
Dietitian, Registered
3500 S BOULEVARD, BLDG A
EDMOND, OK 73013
Oklahoma County (727) 686-9395
MRS. SONYA LEA FONTAINE LPC
Counselor (Professional)
3500 S BOULEVARD, BLDG B SUITE 12B
EDMOND, OK 73013
Oklahoma County (405) 206-3185
CATHEY WELKER PA-C
Physician Assistant
3500 S BOULEVARD, SUITE 18B
EDMOND, OK 73013
Oklahoma County (405) 822-6304
FLOURISHING FAMILIES, LLC
Counselor (Mental Health)
3500 S BOULEVARD
EDMOND, OK 73013
Oklahoma County (405) 556-0228
ALLFAITH HOMECARE
Home Health
3500 S BOULEVARD, SUITE A-2
EDMOND, OK 73013
Oklahoma County (405) 340-5100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Debra Clark's NPI number?

The NPI number for Debra Clark is 1720178650. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Debra Clark located?

Debra Clark practices at 3500 S Boulevard Suite A, Edmond, OK 73013. The listed phone number is (405) 513-8118.

What is Debra Clark's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Debra Clark enrolled in Medicare?

Yes. Debra Clark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Debra Clark accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Debra Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Debra Clark was last updated on December 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.