MR. DALLAS LAYNE CLARK P.T.
NPI 1972693497
Physical Therapist in Diamondville, WY

Active since October 13, 2006Accepts Medicare Assignment
20 ADAVILLE DRIVE, SUITE 10, DIAMONDVILLE, WY 83116(307) 877-1000(307) 877-1000 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Dallas Layne Clark P.t. NPPES

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

MR. DALLAS LAYNE CLARK P.T. (NPI 1972693497) is an individual physical therapist in Diamondville, Wyoming, licensed in Wyoming (802) and active in the NPI registry since October 2006. He is a graduate of Other (1987).

NPPES Registry Identity

NPI1972693497
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameMR. DALLAS LAYNE CLARKCredential: P.T.
Location Address20 ADAVILLE DRIVE, SUITE 10Diamondville, WY 83116
Mailing AddressPo Box 152Laketown, UT 84038-0152 · (435) 946-3512 · Fax (435) 946-2311
Fax(307) 877-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateOctober 13, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1972693497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Licenses Licensed in WY · 802 Licensed in UT · 6293691-2401
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
20 ADAVILLE DRIVE, Diamondville, WY 83116

Other Identifiers 5

Other5586872WY · Ccn Provider Number
Other313318WY · Blue Cross Blue Shield
Medicare PINW20137WY
Other11433480WY · Caqh Provider Id
Other2282218WY · First Health Provider Num

Accepted 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

Mr. Dallas Layne Clark P.t. 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 ID42262115
PECOS Enrollment IDI20050217000654

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83116 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.12 typical visit price
range $56.42 – $170.72
Typical copayment $21.78 (range $14.10 – $42.68)
Most-billed visit code 99203
Established Patient
$70.32 typical visit price
range $18.19 – $139.32
Typical copayment $17.58 (range $4.54 – $34.83)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Physical Therapist
20 ADAVILLE DRIVE, SUITE 10
DIAMONDVILLE, WY 83116

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 Dallas Clark's NPI number?

The NPI number for Dallas Clark is 1972693497. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Dallas Clark located?

Dallas Clark practices at 20 Adaville Drive Suite 10, Diamondville, WY 83116. The listed phone number is (307) 877-1000.

What is Dallas Clark's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Dallas Clark enrolled in Medicare?

Yes. Dallas 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 Dallas Clark accept?

Health plans from Blue Cross Blue Shield of Wyoming list Dallas 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 Dallas Clark was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.