Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1306849955 Individual Practitioner Male Practitioner

Michael J Clark , PT

Physical Therapist • Walla Walla, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Michael Clark, PT is a certified Physical Therapist practicing in Walla Walla, WA. With approximately 34 years of clinical experience since completing medical education in 1992, Michael Clark delivers high-quality medical care to the local community at 275 W TIETAN ST.

Michael Clark is affiliated with Walla Walla Physical Therapy Center Aps and accepts Medicare assignment.

Frequently performed procedures and clinical services include therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each, therapy procedure using functional activities, therapy procedure using manual technique, each. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

275 W Tietan St

Walla Walla, WA 993624363

Telephone 5095220114
Fax 5095229868
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Walla Walla, WA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
34 Yrs +16.7 yrs vs City Avg
City Avg: 17.3 Yrs
State Avg: 16.3 Yrs
Regional Practice Density
57 Specialists

Practicing in Walla Walla, WA (7580 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
30.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Clark (34 Years) 34 Yrs
Walla Walla Specialty Average (17.3 Years) 17.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
3,723 190 $47.00 $21.85
97530 Therapy procedure using functional activities
3,640 193 $48.00 $33.59
97140 Therapy procedure using manual technique, each 15 minutes
2,644 179 $46.00 $20.20
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
1,932 141 $55.00 $25.01
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care
348 70 $25.00 $8.82
97016 Application of blood vessel compression device
142 19 $23.00 $8.77
97162 Evaluation for physical therapy, typically 30 minutes
125 103 $116.00 $99.76
97035 Application of ultrasound, each 15 minutes
95 18 $20.00 $10.54
97161 Evaluation of physical therapy, typically 20 minutes
80 75 $116.00 $98.75
97164 Re-evaluation for physical therapy, typically 20 minutes
41 30 $62.00 $59.57

Medical Specialties & State Licenses

CMS Verified: 2022-09-15
Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License WA PT00005772

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Physical Therapist

NUCC Taxonomy Code: 225100000X

State License OR 2569

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
8348476 (WA)
Commercial Insurance / Payer ID Railroad Medicare
650011919 (WA)
Commercial Insurance / Payer ID Cigna Government Services
0766690001 (WA)
Commercial Insurance / Payer ID Labor & Industries Provid
108672 (WA)
Commercial Insurance / Payer ID Regence Bc/bs
CL5823 (WA)

Hospital & Practice Group Affiliations

Walla Walla Physical Therapy Center Aps

275 W Tietan St, Walla Walla, WA 993624363

Phone: 5095220114

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Dave Barcenas , MSPT

Physical Therapist

NPI 1063431864

Master of Science in Physical Therapy

NPI 1154162345

Physical Therapist, Doctor of Physical Therapy

Kelly Maher

Physical Therapist

NPI 1275145179
Troy Hodges , PTA

Physical Therapy Assistant

NPI 1306146428

Physical Therapist Assistant

Andrea Giedeman , MSPT

Physical Therapist

NPI 1326345208

Master of Science in Physical Therapy

Jennifer Caso , ARNP

Registered Nurse

NPI 1396744322

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location September 15, 2022

Registered at 275 W TIETAN ST, WALLA WALLA, WA 993624363 (Tel: 5095220114)

📍
Updated Business Mailing Address September 15, 2022

Registered at 275 W TIETAN ST, WALLA WALLA, WA 993624363 (Tel: 5095220114)

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 214 E BIRCH ST, STE 4, WALLA WALLA, WA 993623043 (Tel: 5095220114)

📍
Updated Business Mailing Address July 09, 2007

Registered at 214 E BIRCH ST, STE 4, WALLA WALLA, WA 993623043 (Tel: 5095220114)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as MICHAEL CLARK, PT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Physical Therapist (License #PT00005772 in WA)

🟢
Initial NPI Registration & Enumeration May 27, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1306849955
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 27, 2005
Last Update: September 15, 2022
Sole Proprietor: No

Mailing Address

275 W Tietan St

Walla Walla, WA 993624363

Phone: 5095220114

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.