Michael J. Clark, PT
NPI 1306849955ActiveIndividual· Physical Therapist· Walla Walla, WA
Physical Therapist (PT) with Walla Walla Physical Therapy Center Aps, practicing in Walla Walla, Washington. Medicare paid $257,985 for services to 197 patients in 2024.
Overview
| NPI | 1306849955 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | No |
| NPI issued | May 27, 2005 |
| Last updated in NPPES | Sep 15, 2022 |
| Certified by provider | Sep 15, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT00005772 | WA |
| Physical Therapist | 225100000X | 2569 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 197 |
|---|---|
| Services billed | 12,784 across 12 procedure codes |
| Paid by Medicare | $257,985 |
Education and affiliations
| Graduation year | 1992 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Walla Walla Physical Therapy Center ApsWalla Walla, WA · 3 clinicians
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