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

Mr. Grenville Clark, MPT

Individual provider Physical Therapist · NPI 1891740478

Mr. Grenville Clark, MPT is a Physical Therapist in Private Practice in Virginia Beach, Virginia. Qualified in 2000, 26 years ago. Practices with Perfect Balance Physical Therapy LLC, a 12-clinician group and accepts Medicare assignment. Licensed in North Carolina and Virginia.

Years since qualifying
26
Licensed in
NC, VA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

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Practice location Address checks out

5301 Providence Rd Ste 80
Virginia Beach, VA 23464-4128
Phone: (757) 467-1900
Fax: (757) 467-7900
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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 P11167 (NC)
Physical Therapist Taxonomy 225100000X · Licence 2305202681 (VA)

Record details

NPI number1891740478
Entity typeIndividual (Type 1)
GenderMale
Credentials MPT
Sole proprietorNo
NPI enumeratedMay 23, 2006
Last updated in NPPESJuly 13, 2026
Certification dateNovember 10, 2020

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Perfect Balance Physical Therapy Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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