Michael Thomas Clark, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60932081 Issued in WA

Practice address

9310 N Division St
Spokane, WA 99218-1227

Phone

(509) 789-2836

NPI assigned

Jul 8, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northwest Orthopaedic Specialists PSGroup PAC ID 7113811654, 83 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michael.clark.1@16598.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northwest Orthopaedic Specialists PS

  • Orthopaedic Surgery Physician
  • Spokane, WA
  • NPI 1609845825

  WA

  Medicare reassignment Care Compare group NPD
• Forty Six & Two, LLC

  • Physical Therapy Clinic/Center
  • Spokane, WA
  • NPI 1659627974

  WA

  Medicare reassignment NPD
• Northwest Orthopaedic Specialists, P.S.

  • Ambulatory Surgical Clinic/Center
  • Spokane, WA
  • NPI 1265401202
  Care Compare group NPD
• Northwest Orthopaedic Specialists PS

  • Orthopaedic Surgery Physician
  • Spokane, WA
  • NPI 1184259871
  Care Compare group
• Northwest Orthopaedic Specialists, P.S.

  • Orthopaedic Surgery Physician
  • Spokane Valley, WA
  • NPI 1184271959
  Care Compare group
• Northwest Orthopaedic Specialists, P.S.

  • Orthopaedic Surgery Physician
  • Spokane, WA
  • NPI 1336796119
  Care Compare group
• Northwest Orthopaedic Specialists, P.S.

  • Orthopaedic Surgery Physician
  • Spokane, WA
  • NPI 1811522501
  Care Compare group
• Northwest Orthopaedic Specialists, P.S.

  • Orthopaedic Surgery Physician
  • Spokane Valley, WA
  • NPI 1861147548
  Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1124680368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9310 N DIVISION ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181227",
            "telephone_number": "509-789-2836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9310 N DIVISION ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181227",
            "telephone_number": "509-789-2836"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2532 W Francis Ave",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992057012",
            "country_code": "US",
            "telephone_number": "509-465-4799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "MICHAEL",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-08",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60932081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Clark, LICSW
• Loretta A Clark, LMP
• Malia Kari Clark
• Margaret Kristin Clark, MD
• Matthew Ray Clark
• Nathan Scott Clark, DO
• Nicole Clark, MS, CMC
• Pamela M. Clark, PSY.D.
• Peter James Clark, ATC, AT-L, CSCS, MA
• Rina Clark, LMP

• All providers in Spokane, WA
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.