JACKIE CLARK
NPI 1124474457
Occupational Therapist in Parrish, FL
About Jackie Clark NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACKIE CLARK (NPI 1124474457) is an individual occupational therapist in Parrish, Florida, licensed in Florida (OT14395) and active in the NPI registry since May 2016. He is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jackie 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.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
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 Jackie Clark's NPI number?
The NPI number for Jackie Clark is 1124474457. It was assigned to this individual provider in the NPPES registry on May 5, 2016.
Where is Jackie Clark located?
Jackie Clark practices at 11472 Walden Loop, Parrish, FL 34219. The listed phone number is (941) 806-7555.
What is Jackie Clark's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Jackie Clark enrolled in Medicare?
Yes. Jackie 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.
When was this NPI record last updated?
The NPPES record for Jackie Clark was last updated on December 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.