Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael J Clark, PT

Individual provider Physical Therapist · NPI 1306849955

Michael J Clark, PT is a Physical Therapist in Private Practice in Walla Walla, Washington. Qualified in 1992, 34 years ago. Practices with Walla Walla Physical Therapy Center Aps, a 3-clinician group and accepts Medicare assignment. Licensed in Oregon and Washington.

Years since qualifying
34
Licensed in
OR, WA
In the registry since
2005
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

275 W Tietan St
Walla Walla, WA 99362-4363
Phone: (509) 522-0114
Fax: (509) 522-9868
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT00005772 (WA)
Physical Therapist Taxonomy 225100000X · Licence 2569 (OR)

Record details

NPI number1306849955
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedMay 27, 2005
Last updated in NPPESSeptember 15, 2022
Certification dateSeptember 15, 2022
Mailing address275 W Tietan St, Walla Walla, WA 99362-4363

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Walla Walla Physical Therapy Center Aps — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Walla Walla