MICHAEL CLARK (P.T.) – Orthopedic Physical Therapist, NPI 1336147289

MICHAEL CLARK (P.T.) is a healthcare provider. based in Fairhope, Alabama. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials P.T.. They hold a License No. PTH2465 (AL). The NPI Number for MICHAEL CLARK (P.T.) is 1336147289

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL CLARK (P.T.)
NPI
1336147289
Phone
(251) 928-2401
Address
341 GREENO ROAD
Enumeration Date
13 July 2005
Last Update Date
18 February 2009

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Secondary Phone
2514765050
Graduation Year
1996 (30 years ago)
PAC ID
4082702782
Group Practice PAC ID
2264331826
Professional Enrollment ID
I20071114000001
Address ID
AL366083143MO6144XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,476 PHYSICAL THERAPIST IN PRIVATE PRACTICE in AL

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Provider Addresses for MICHAEL CLARK (P.T.)

  • Greeno Road, Fairhope, Baldwin County, Alabama, 36533, United States

    FAIRHOPE, AL 36532

    Phone: (251) 928-2401

    Fax: (251) 928-5099

    Type: Location

  • PO BOX 1186

    FAIRHOPE, AL 365331186

    Phone: (251) 928-2401

    Fax: (251) 928-5099

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-11-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20071114000001IPhysical Therapist In Private PracticeALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes2,875203$0
97161Evaluation for physical therapy, typically 20 minutes174167$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care15328$0
97140Therapy procedure using manual technique, each 15 minutes12538$0
97530Therapy procedure using functional activities8023$0
View full utilization report →

Insurance plans in this area (ZIP 36532)

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Provider's Procedures

MICHAEL CLARK (P.T.) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYAL97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes6184259

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264331826View full group profile
NameSpecialtyState
Nurse PractitionerAL
Orthopedic SurgeryAL
Orthopedic SurgeryAZ
Physician AssistantAL
Orthopedic Surgery, Hand SurgeryAL
Orthopedic SurgeryAL
Orthopedic SurgeryAL
Orthopedic SurgeryAL
Orthopedic SurgeryAL
Orthopedic SurgeryAL

Reviews

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Frequently asked questions

What identifier follows MICHAEL CLARK (P.T.) across health systems?
The NPI 1336147289 uniquely identifies MICHAEL CLARK (P.T.) in U.S. healthcare data.
Is MICHAEL CLARK (P.T.) currently accepting referrals based on NPI status?
Registry metadata lists MICHAEL CLARK (P.T.) as active.
Which specialty label fits MICHAEL CLARK (P.T.)?
NPPES ties MICHAEL CLARK (P.T.) to Orthopedic Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is MICHAEL CLARK (P.T.) tied to Fairhope, Alabama?
If you are local to Fairhope, Alabama, MICHAEL CLARK (P.T.) may be relevant to your search.
Can I export MICHAEL CLARK (P.T.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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