KELLY SUE CLARK OTR/L
NPI 1356858633
Occupational Therapist in Los Angeles, CA

Active since January 08, 2018
6076 BRISTOL PKWY STE 105, LOS ANGELES, CA 90230(310) 642-7700(310) 642-7700 Get Directions Write a Review

NPPES record last updated: January 8, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kelly Sue Clark Otr/l NPPES

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

KELLY SUE CLARK OTR/L (NPI 1356858633) is an individual occupational therapist in Los Angeles, California, licensed in California (12874) and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1356858633
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameKELLY SUE CLARKCredential: OTR/L
Location Address6076 BRISTOL PKWY STE 105Los Angeles, CA 90230-6600
Mailing Address6076 Bristol Pkwy Ste 105Los Angeles, CA 90230-6600 · (310) 642-7700
Fax(310) 642-7700
Sole ProprietorNo
Enumeration DateJanuary 8, 2018
NPI 1356858633 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 CA · 12874
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.

6076 BRISTOL PKWY STE 105, Los Angeles, CA 90230

Other Providers at the Same Location NPPES 17

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

Specialist/Technologist (Speech-Language Assistant)
6076 BRISTOL PKWY STE 105
CULVER CITY, CA 90230
Occupational Therapy Assistant
6076 BRISTOL PKWY STE 105
CULVER CITY, CA 90230
Behavior Analyst
6076 BRISTOL PKWY STE 105
CULVER CITY, CA 90230
Behavior Analyst
6076 BRISTOL PKWY STE 105
CULVER CITY, CA 90230
Behavior Analyst
6076 BRISTOL PKWY STE 105
CULVER CITY, CA 90230
Behavior Technician
6076 BRISTOL PKWY STE 105
CULVER CITY, CA 90230
Behavior Technician
6076 BRISTOL PKWY STE 105
CULVER CITY, CA 90230
Behavior Technician
6076 BRISTOL PKWY STE 105
CULVER CITY, CA 90230

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356858633, enumerated as an "individual" on January 08, 2018.

The provider is located at 6076 BRISTOL PKWY STE 105 LOS ANGELES, CA 90230 and the phone number is (310) 642-7700.

Occupational Therapist with taxonomy code 225X00000X.