MICKIE CLARK COTA
NPI 1588579874
Occupational Therapy Assistant in Jacksonville, IL
About Mickie Clark Cota NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICKIE CLARK COTA (NPI 1588579874) is an individual occupational therapy assistant in Jacksonville, Illinois, licensed in Illinois (057005371) and active in the NPI registry since August 2026.
NPPES Registry Identity
Specialties & Licenses
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 Mickie Clark's NPI number?
The NPI number for Mickie Clark is 1588579874. It was assigned to this individual provider in the NPPES registry on August 19, 2026.
Where is Mickie Clark located?
Mickie Clark practices at 512 W Morgan St, Jacksonville, IL 62650. The listed phone number is (618) 705-0451.
What is Mickie Clark's specialty?
The primary specialty registered for this NPI is Occupational Therapy Assistant with taxonomy code 224Z00000X.
When was this NPI record last updated?
The NPPES record for Mickie Clark was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.