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MICHELLE B CLARK
NPI 1063914109
Physical Therapist - Pediatrics in Omaha, NE

Active since March 05, 2018
17809 PIERCE PLZ, OMAHA, NE 68130(402) 955-8355(402) 955-8356 Get Directions Write a Review

NPPES record last updated: March 5, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michelle B Clark NPPES

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

MICHELLE B CLARK (NPI 1063914109) is an individual pediatrics provider in Omaha, Nebraska, licensed in Nebraska (3652) and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1063914109
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameMICHELLE B CLARK
Location Address17809 PIERCE PLZOmaha, NE 68130-1035
Mailing Address8200 Dodge StOmaha, NE 68114-4113 · (402) 955-5400
Phone(402) 955-8355
Fax(402) 955-8356
Sole ProprietorNo
Enumeration DateMarch 5, 2018
✔ NPI 1063914109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License✔ Licensed in NE · 3652
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
17809 PIERCE PLZ, Omaha, NE 68130
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Other Names 1

Former Name (1)Michelle M Berch

Other Providers at the Same Location NPPES 14

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

CHILDREN'S REHAB - OCCUPATIONAL THERAPY
Occupational Therapist (Pediatrics)
17809 PIERCE PLZ, CHILDREN'S REHAB - OCCUPATIONAL THERAPY
OMAHA, NE 68130
Douglas County (402) 955-8355
SAMANTHA A SIBSON
Speech-Language Pathologist
17809 PIERCE PLZ, CHILDREN'S REHAB - SPEECH THERAPY
OMAHA, NE 68130
Douglas County (402) 955-8355
CARISSA L ROWBERRY PT, DPT
Physical Therapist (Pediatrics)
17809 PIERCE PLZ, CHILDREN'S REHAB PHYSICAL THERAPY
OMAHA, NE 68130
Douglas County (402) 955-8355
AUDRA NELSON M.S. CCC- SLP
Speech-Language Pathologist
17809 PIERCE PLZ, CHILDREN'S REHAB SPEECH THERAPY
OMAHA, NE 68130
Douglas County (402) 955-8355
MADISON A BASTIAN PT
Physical Therapist
17809 PIERCE PLZ
OMAHA, NE 68130
Douglas County (402) 955-8181
KIMBERLY SULLIVAN
Occupational Therapist (Pediatrics)
17809 PIERCE PLZ, CHILDREN'S REHAB - PHYSICAL THERAPY
OMAHA, NE 68130
Douglas County (402) 955-8355
SARAH A DEPALMA
Speech-Language Pathologist
17809 PIERCE PLZ, CHILDREN'S REHAB SPEECH THERAPY
OMAHA, NE 68130
Douglas County (402) 955-8355
ABBIE M NELSON
Occupational Therapist (Pediatrics)
17809 PIERCE PLZ, CHILDREN'S REHAB OCCUPATIONAL THERAPY
OMAHA, NE 68130
Douglas County (402) 955-8355

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 Michelle Clark's NPI number?

The NPI number for Michelle Clark is 1063914109. It was assigned to this individual provider in the NPPES registry on March 5, 2018. The provider is also known as Michelle M Berch.

Where is Michelle Clark located?

Michelle Clark practices at 17809 Pierce Plz, Omaha, NE 68130. The listed phone number is (402) 955-8355.

What is Michelle Clark's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for Michelle Clark was last updated on March 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.