Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417296260 Individual Practitioner Female Practitioner

Dr. Bethany Clark , PT, DPT

Physical Therapist • Palm Coast, FL

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Bethany Clark, PT, DPT is a registered healthcare professional specializing in Physical Therapist in Palm Coast, FL. Official NPI practice address is registered at 9 PINE CONE DR STE 104B.

Practice Location & Contact Primary Location

Practice Address

9 Pine Cone Dr Ste 104b

Palm Coast, FL 321378683

Telephone 3864469716

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Palm Coast, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.3 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
72 Specialists

Practicing in Palm Coast, FL (14601 Statewide)

Telehealth Adoption Rate
1.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License FL PT28112

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: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.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. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Margaret Davis , OTR, L, CHT

Occupational Therapist - Hand

NPI 1184847485

Occupational Therapist Registered, L, Certified Hand Therapist

Amber Custodi

Physical Therapist

NPI 1194398768
Lynn Eldridge , CCC-SP

Speech-Language Pathologist

NPI 1194865873

CCCSP

Tamra Fleming , SLP

Speech-Language Pathologist

NPI 1225157530

Speech-Language Pathologist

Marilyn Cortes , PT

Physical Therapist

NPI 1265694046

Physical Therapist

NPI 1366256778

Doctor of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location April 29, 2019

Registered at 9 PINE CONE DR STE 104B, PALM COAST, FL 321378683 (Tel: 3864469716)

NPI Profile Active January 13, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location January 13, 2015

Registered at 6500 CRILL AVE, SUITE 3, PALATKA, FL 321779230 (Tel: 3864459444)

📍
Updated Business Mailing Address January 13, 2015

Registered at 108 CAMDEN CAY DR, ST AUGUSTINE, FL 320861814 (Tel: 4408645565)

👤
Provider Name / Credentials Updated January 13, 2015

Recorded as BETHANY CLARK, PT, DPT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2015

Physical Therapist (License #PT28112 in FL)

🟢
Initial NPI Registration & Enumeration February 13, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417296260
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 13, 2013
Last Update: April 29, 2019
Sole Proprietor: Yes

Mailing Address

108 Camden Cay Dr

St Augustine, FL 320861814

Phone: 4408645565

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.