Michael Clark, P.T.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PTH2465 Issued in AL

Practice address

341 Greeno Road
Fairhope, AL 36532

Phone

(251) 928-2401

Fax

(251) 928-5099

NPI assigned

Jul 13, 2005

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of South Alabama College of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Orthopaedic Group PCGroup PAC ID 2264331826, 67 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.53 of 100Reported as group

Quality

86.51

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• The Orthopaedic Group, PC

  • Specialist
  • Mobile, AL
  • NPI 1164489951
  Medicare reassignment Care Compare group NPD
• Bayside Orthopedic & Rehabilitation Center PC

  • Orthopaedic Surgery Physician
  • Fairhope, AL
  • NPI 1215014097
  Medicare reassignment NPD
• Bayside Orthopaedic & Rehabilitation Center, P.C.

  • Orthopaedic Surgery Physician
  • Gulf Shores, AL
  • NPI 1265053342
  NPD
• Bayside Physical Therapy, LLC

  • Physical Therapist
  • Fairhope, AL
  • NPI 1861033466
  NPD
• The Orthopaedic Group, P.C.

  • Orthopaedic Surgery Physician
  • Foley, AL
  • NPI 1003158965
  NPD

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234915200000",
    "number": "1336147289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1186",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365331186",
            "telephone_number": "251-928-2401",
            "fax_number": "251-928-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 GREENO ROAD",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "36532",
            "telephone_number": "251-928-2401",
            "fax_number": "251-928-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "MICHAEL",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2009-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AL",
            "license": "PTH2465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051077610",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890006680",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard C Childs, M.D.
• Anne S. Chipman, LMFT
• Kelly Anne Chism, M.S.
• Christine S. Aiken, PHD, LLC
• Queendaleen C Chukwurah, MD
• Robert Alan Clark, M.D.
• Zachary Kyle Clark, MD
• Christopher Clarke, MD
• Clearlyusa.Com, L.L.C.
• Barbara C Clements, DMD

• Orthopedic Physical Therapist in Fairhope, AL
• Providers in Fairhope, AL by specialty
• Orthopedic Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; 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.