Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MICKIE CLARK COTA
NPI 1588579874
Occupational Therapy Assistant in Jacksonville, IL

Active since August 19, 2026
512 W MORGAN ST, JACKSONVILLE, IL 62650(618) 705-0451(217) 248-8558 Get Directions Write a Review

NPPES record added: August 19, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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

NPI1588579874
Entity TypeIndividualFemale
Primary Taxonomy224Z00000X
Provider Legal NameMICKIE CLARKCredential: COTA
Location Address512 W MORGAN STJacksonville, IL 62650-2424
Mailing Address512 W Morgan StJacksonville, IL 62650-2424 · Fax (618) 705-0451
Fax(217) 248-8558
Sole ProprietorNo
Enumeration DateAugust 19, 2026
NPPES CertifiedAugust 19, 2026
NPI 1588579874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224Z00000X
License Licensed in IL · 057005371
Definition
An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist 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 therapy assistants 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.
512 W MORGAN ST, Jacksonville, IL 62650

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.