MICHAEL J CLARK PT
NPI 1306849955
Physical Therapist in Walla Walla, WA

Active since May 27, 2005Accepts Medicare Assignment
275 W TIETAN ST, WALLA WALLA, WA 99362(509) 522-0114(509) 522-9868 Get Directions Write a Review

NPPES record last updated: September 15, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michael J Clark Pt NPPES

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

MICHAEL J CLARK PT (NPI 1306849955) is an individual physical therapist in Walla Walla, Washington, licensed in Washington (PT00005772) and active in the NPI registry since May 2005. He is a graduate of Other (1992).

NPPES Registry Identity

NPI1306849955
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameMICHAEL J CLARKCredential: PT
Location Address275 W TIETAN STWalla Walla, WA 99362-4363
Mailing Address275 W Tietan StWalla Walla, WA 99362-4363 · (509) 522-0114 · Fax (509) 522-9868
Fax(509) 522-9868
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateMay 27, 2005
Last NPPES UpdateSeptember 15, 2022
NPPES CertifiedSeptember 15, 2022
NPI 1306849955 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 WA · PT00005772 Licensed in OR · 2569
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:<ul><li>Diagnose and manage movement dysfunction and enhance physical and functional abilities.</li><li>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.</li><li>Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.</li><li>Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.</li><li>Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.</li></ul>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.

275 W TIETAN ST, Walla Walla, WA 99362

Other Names 1

Professional Name (2)Mike Clark Pt

Other Identifiers 5

Other650011919WA · Railroad Medicare
Other0766690001WA · Cigna Government Services
Other108672WA · Labor & Industries Provid
Medicaid8348476WA
OtherCL5823WA · Regence Bc/bs

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

Michael J 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 ID7810982907
PECOS Enrollment IDI20170413002098

Areas of Expertise CMS Part B claims 10

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 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.
3,723 services190 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.
3,640 services193 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.
2,644 services179 patients
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.
1,932 services141 patients
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care G0283
Electrical stimulation is a therapy method where mild electrical pulses are used to treat pain or stimulate muscles in certain areas. It's not for wound care but is part of a broader therapy plan. It's safe, non-invasive, and can help improve overall health.
348 services70 patients
Application of blood vessel compression device 97016
A blood vessel compression device is applied to control bleeding and promote clotting after a procedure. This device applies pressure to your blood vessels, reducing the chance of excessive bleeding. It's a safe, standard part of many medical procedures.
142 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99362 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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 8

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

Physical Therapist
275 W TIETAN ST
WALLA WALLA, WA 99362
Physical Therapist
275 W TIETAN ST
WALLA WALLA, WA 99362
Physical Therapy Assistant
275 W TIETAN ST
WALLA WALLA, WA 99362
Physical Therapist
275 W TIETAN ST
WALLA WALLA, WA 99362
Clinic/Center (Physical Therapy)
275 W TIETAN ST
WALLA WALLA, WA 99362
Physical Therapist
275 W TIETAN ST
WALLA WALLA, WA 99362
Physical Therapist
275 W TIETAN ST
WALLA WALLA, WA 99362
Physical Therapist
275 W TIETAN ST
WALLA WALLA, WA 99362

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 Michael Clark's NPI number?

The NPI number for Michael Clark is 1306849955. It was assigned to this individual provider in the NPPES registry on May 27, 2005. The provider is also known as Mike Clark Pt.

Where is Michael Clark located?

Michael Clark practices at 275 W Tietan St, Walla Walla, WA 99362. The listed phone number is (509) 522-0114.

What is Michael Clark's specialty?

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

Is Michael Clark enrolled in Medicare?

Yes. Michael 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 Michael Clark accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Michael 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 Michael Clark was last updated on September 15, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.