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

Taylor Clark, DPT

Individual provider Physical Therapist · NPI 1265047351

Taylor Clark, DPT is a Physical Therapist in Private Practice in Norfolk, Virginia. Qualified in 2020, 6 years ago. Practices with Old Dominion University, a 13-clinician group and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2020
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1015 W 47th St
Norfolk, VA 23508
Phone: (757) 683-7041
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1265047351
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedSeptember 15, 2020
Last updated in NPPESSeptember 15, 2020
Certification dateSeptember 13, 2020
Mailing address3536 Gamage Dr, Norfolk, VA 23518-5751

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Old Dominion University — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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