Individual provider Active NPI

Michelle J Clark, DPT

  • Physical Therapist
  • Williamsburg, VA
National Provider Identifier
1851644165
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305204753 Issued in VA
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

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20121130000578 VA Practitioner - Physical Therapist in Private Practice 9537311386 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
Orthopaedic Surgery and Sports Medicine Specialists CurrentSince Aug 25, 2025 Accepting new patients
Orthopaedic Surgery & Sports Med Specialist of Hampton RDS PC CurrentSince Aug 25, 2025 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.