MIKAYLA CLARK
NPI 1063378586
Occupational Therapist in Springfield, MA

Active since December 29, 2025Accepts Medicare Assignment
807 WILBRAHAM RD, SPRINGFIELD, MA 01109(413) 355-5854 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mikayla Clark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIKAYLA CLARK (NPI 1063378586) is an individual occupational therapist in Springfield, Massachusetts, licensed in Massachusetts (OTL36385) and active in the NPI registry since December 2025. She is a graduate of Other (2025).

NPPES Registry Identity

NPI1063378586
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameMIKAYLA CLARK
Location Address807 WILBRAHAM RDSpringfield, MA 01109-2067
Mailing Address84 Sessions DrHampden, MA 01036-9505
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 29, 2025
NPPES CertifiedDecember 29, 2025
✔ NPI 1063378586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in MA · OTL36385
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
807 WILBRAHAM RD, Springfield, MA 01109

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mikayla Clark is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648750976
PECOS Enrollment IDI20260217000225

Medicare Billing Reassignment

Medicare enrollment records show Mikayla Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
88 MASONIC HOME RD
Charlton, MA 01507
  • Reassigned Medicare billing, Massachusetts enrollment
  • 9 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
807 WILBRAHAM RD
SPRINGFIELD, MA 01109
Occupational Therapist
807 WILBRAHAM RD
SPRINGFIELD, MA 01109
Occupational Therapist
807 WILBRAHAM RD
SPRINGFIELD, MA 01109
Skilled Nursing Facility
807 WILBRAHAM RD
SPRINGFIELD, MA 01109
Occupational Therapy Assistant
807 WILBRAHAM RD
SPRINGFIELD, MA 01109
Occupational Therapy Assistant
807 WILBRAHAM RD
SPRINGFIELD, MA 01109
Speech-Language Pathologist
807 WILBRAHAM RD
SPRINGFIELD, MA 01109
Physical Therapist
807 WILBRAHAM RD
SPRINGFIELD, MA 01109

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mikayla Clark's NPI number?

The NPI number for Mikayla Clark is 1063378586. It was assigned to this individual provider in the NPPES registry on December 29, 2025.

Where is Mikayla Clark located?

Mikayla Clark practices at 807 Wilbraham Rd, Springfield, MA 01109. The listed phone number is (413) 355-5854.

What is Mikayla Clark's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Mikayla Clark enrolled in Medicare?

Yes. Mikayla Clark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Mikayla Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mikayla Clark reassigns Medicare benefits to Preferred Therapy Outpatient Services Of Ma LLC (Charlton, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mikayla Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mikayla Clark was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.