ERIN YVETTE CLARK OTR/L
NPI 1093389439
Occupational Therapist in Mitchellville, MD

Active since May 19, 2021
12158 CENTRAL AVE, MITCHELLVILLE, MD 20721(301) 430-2706 Get Directions Write a Review

NPPES record last updated: January 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 30, 2023, May 15, 2023, May 19, 2021 (3 updates tracked since 2021).

About Erin Yvette Clark Otr/l NPPES

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

ERIN YVETTE CLARK OTR/L (NPI 1093389439) is an individual occupational therapist in Mitchellville, Maryland, licensed in Maryland (09989) and active in the NPI registry since May 2021. She is a graduate of Howard University College Of Medicine (2025).

NPPES Registry Identity

NPI1093389439
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameERIN YVETTE CLARKCredential: OTR/L
Location Address12158 CENTRAL AVEMitchellville, MD 20721-1932
Mailing Address12158 Central AveMitchellville, MD 20721-1932 · (301) 390-3076
Sole ProprietorNo
Medical School CMSHoward University College Of MedicineGraduated 2025
Enumeration DateMay 19, 2021
Last NPPES UpdateJanuary 11, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2024
NPI 1093389439 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 MD · 09989
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.

12158 CENTRAL AVE, Mitchellville, MD 20721

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Erin Yvette Clark Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476046319
PECOS Enrollment IDI20251201000562

Other Providers at the Same Location NPPES 20

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

Physical Therapy Assistant
12158 CENTRAL AVE
MITCHELLVILLE, MD 20721
Student in an Organized Health Care Education/Training Program
12158 CENTRAL AVE
MITCHELLVILLE, MD 20721
Student in an Organized Health Care Education/Training Program
12158 CENTRAL AVE
MITCHELLVILLE, MD 20721
Student in an Organized Health Care Education/Training Program
12158 CENTRAL AVE
MITCHELLVILLE, MD 20721
Student in an Organized Health Care Education/Training Program
12158 CENTRAL AVE
MITCHELLVILLE, MD 20721
Student in an Organized Health Care Education/Training Program
12158 CENTRAL AVE
MITCHELLVILLE, MD 20721
Occupational Therapist
12158 CENTRAL AVE
MITCHELLVILLE, MD 20721
Physical Therapist
12158 CENTRAL AVE
MITCHELLVILLE, MD 20721

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 Erin Clark's NPI number?

The NPI number for Erin Clark is 1093389439. It was assigned to this individual provider in the NPPES registry on May 19, 2021.

Where is Erin Clark located?

Erin Clark practices at 12158 Central Ave, Mitchellville, MD 20721. The listed phone number is (301) 430-2706.

What is Erin Clark's specialty?

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

Is Erin Clark enrolled in Medicare?

Yes. Erin Clark is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Erin Clark was last updated on January 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.