Active NPI
Michelle J Clark, DPT
- Physical Therapist
- Williamsburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305204753
- Practice address
- 5424 Discovery Park Blvd
Suite 101
Williamsburg, VA 23188-2904 - Phone
- (757) 345-2512
- Fax
- (757) 345-0859
- NPI assigned
- Oct 24, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305204753 | VA | Primary |
Addresses
Primary practice location
5424 Discovery Park Blvd
Suite 101
Williamsburg, VA 23188-2904
Mailing address
298 Nat Turner Blvd S
Newport News, VA 23606-3074
Phone (757) 596-1900
Other practice location 1
298 Nat Turner Blvd S
Newport News, VA 23606-3074
Phone (757) 596-1900
Other practice location 2
860 Omni Blvd Ste 103
Newport News, VA 23606-4430
Phone (757) 223-9403
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
298 Nat Turner S Blvd
Newport News, VA 23606-3074
Phone (757) 596-1900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic Surgery and Sports Medicine Specialists | Current | Accepting new patients | |
| Orthopaedic Surgery & Sports Med Specialist of Hampton RDS PC | Current | Accepting new patients |
Locations
250 Nat Turner Blvd S
Newport News, VA 23606
Phone (757) 596-1900
298 Nat Turner Blvd S
Newport News, VA 23606
Phone (757) 596-1900
Interoperability endpoints
- michelle.clark.p1@direct.osc-ortho.nextgenshare.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Orthopaedic & Spine Center
- Orthopaedic Surgery Physician
- Newport News, VA
- NPI 1801957378
-
dba Orthopaedic and Spine Center
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Newport News, VA
- NPI 1700190170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753401600000",
"number": "1851644165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "298 NAT TURNER BLVD S",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236063074",
"telephone_number": "757-596-1900",
"fax_number": "866-420-0168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5424 DISCOVERY PARK BLVD",
"address_2": "SUITE 101",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231882904",
"telephone_number": "757-345-2512",
"fax_number": "757-345-0859"
}
],
"practiceLocations": [
{
"address_1": "298 Nat Turner Blvd S",
"address_purpose": "LOCATION",
"city": "Newport News",
"state": "VA",
"postal_code": "236063074",
"country_code": "US",
"telephone_number": "757-596-1900",
"fax_number": "866-420-0168",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "860 Omni Blvd Ste 103",
"address_purpose": "LOCATION",
"city": "Newport News",
"state": "VA",
"postal_code": "236064430",
"country_code": "US",
"telephone_number": "757-223-9403",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLARK",
"first_name": "MICHELLE",
"middle_name": "J",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-24",
"last_updated": "2025-07-25",
"certification_date": "2025-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305204753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williamsburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; 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.