KENDRA RAE CLARK OTR/L
NPI 1225723430
Occupational Therapist in Spokane, WA

Active since April 05, 2023Accepts Medicare Assignment
1515 S TECHNOLOGY RD, SPOKANE, WA 99224(509) 209-7429(509) 340-9942 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 7, 2026, Apr 5, 2023 (2 updates tracked since 2023).

About Kendra Rae Clark Otr/l NPPES

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

KENDRA RAE CLARK OTR/L (NPI 1225723430) is an individual occupational therapist in Spokane, Washington, licensed in Washington (OT61398414) and active in the NPI registry since April 2023. She is a graduate of Other.

NPPES Registry Identity

NPI1225723430
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameKENDRA RAE CLARKCredential: OTR/L
Location Address1515 S TECHNOLOGY RDSpokane, WA 99224-5003
Mailing Address1515 S Technology RdSpokane, WA 99224-5003 · (509) 209-7429 · Fax (509) 340-9942
Fax(509) 340-9942
Sole ProprietorNo
Medical School CMSOther
Enumeration DateApril 5, 2023
Last NPPES UpdateJanuary 7, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2026
✔ NPI 1225723430 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 WA · OT61398414
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.
1515 S TECHNOLOGY RD, Spokane, WA 99224

Other Identifiers 2

OtherOT61398414WA · Washington License
Medicaid2242170WA

Accepted Insurance

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

Kendra Rae Clark Otr/l 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 ID8527572098
PECOS Enrollment IDI20250708000908

Medicare Billing Reassignment

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

Physical Medicine & Rehabilitation
9030 N HESS ST STE 301
Hayden, ID 83835
  • Reassigned Medicare billing, Washington enrollment
  • 13 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 8

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

Occupational Therapist
1515 S TECHNOLOGY RD
SPOKANE, WA 99224
Speech-Language Pathologist
1515 S TECHNOLOGY RD
SPOKANE, WA 99224
Physical Therapist
1515 S TECHNOLOGY RD
SPOKANE, WA 99224
Physical Therapist
1515 S TECHNOLOGY RD
SPOKANE, WA 99224
Speech-Language Pathologist
1515 S TECHNOLOGY RD
SPOKANE, WA 99224
Dietitian, Registered
1515 S TECHNOLOGY RD
SPOKANE, WA 99224
Speech-Language Pathologist
1515 S TECHNOLOGY RD
SPOKANE, WA 99224
Occupational Therapist
1515 S TECHNOLOGY RD
SPOKANE, WA 99224

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 Kendra Clark's NPI number?

The NPI number for Kendra Clark is 1225723430. It was assigned to this individual provider in the NPPES registry on April 5, 2023.

Where is Kendra Clark located?

Kendra Clark practices at 1515 S Technology Rd, Spokane, WA 99224. The listed phone number is (509) 209-7429.

What is Kendra Clark's specialty?

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

Is Kendra Clark enrolled in Medicare?

Yes. Kendra 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 Kendra Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kendra Clark reassigns Medicare benefits to Sonny Physical Therapy, LLC (Hayden, ID). 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 Kendra Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kendra Clark accept?

Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Kendra Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kendra Clark was last updated on January 7, 2026. 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.