ERIN YVETTE CLARK OTR/L
NPI 1093389439
Occupational Therapist in Mitchellville, MD
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Erin Yvette Clark Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Erin Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Washington, DC 20011
- Reassigned Medicare billing, District of Columbia 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MITCHELLVILLE, MD 20721
MITCHELLVILLE, MD 20721
MITCHELLVILLE, MD 20721
MITCHELLVILLE, MD 20721
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.
Which organization bills Medicare for Erin Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Erin Clark reassigns Medicare benefits to Neurosuite LLC (Washington, DC). 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 Erin 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 Erin Clark was last updated on January 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.