Jeffrey L Clark , LAT, ATC, RET
Specialist • Mckinney, TX
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jeffrey Clark has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Jeffrey Clark, LAT, ATC, RET was a registered Specialist practicing in Mckinney, TX. Throughout an active medical career spanning 20 years, Jeffrey Clark provided care at the practice location at 2414 W UNIVERSITY DR until profile deactivation on 2026-05-28.
Practice Location & Contact Primary Location
2414 W University Dr
Suite 110
Mckinney, TX 750712810
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Mckinney, TX
Practicing in Mckinney, TX (2033 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Physical Therapist
Doctor of Physical Therapy
Physical Therapist
Doctor of Physical Therapy
Physical Therapy Assistant
Physical Therapist Assistant
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on May 28, 2026
NPI status registered as active in NPPES database
Registered at 2414 W UNIVERSITY DR, SUITE 110, MCKINNEY, TX 750712810 (Tel: 9725699050)
Registered at 9917 LAKEVIEW DR, PROVIDENCE VILLAGE, TX 762275427 (Tel: 4694178280)
Recorded as JEFFREY CLARK, LAT, ATC, RET.
Specialist (License #AT0438 in TX)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
9917 Lakeview Dr
Providence Village, TX 762275427
Phone: 4694178280
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