JENNIFER ANN CLARK OTD, OTR/L
NPI 1720583446
Occupational Therapist in Arnold, MO
About Jennifer Ann Clark Otd, Otr/l NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER ANN CLARK OTD, OTR/L (NPI 1720583446) is an individual occupational therapist in Arnold, Missouri, licensed in Missouri (2015003683) and active in the NPI registry since March 2018. She is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jennifer Ann Clark Otd, Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jennifer Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Van Nuys, CA 91406
- Reassigned Medicare billing, Missouri enrollment
- 3 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jennifer Clark's NPI number?
The NPI number for Jennifer Clark is 1720583446. It was assigned to this individual provider in the NPPES registry on March 26, 2018. The provider is also known as Jennifer Ann Hefner Otd, Otr/L.
Where is Jennifer Clark located?
Jennifer Clark practices at 4 Arnold Mall, Arnold, MO 63010. The listed phone number is (636) 282-0056.
What is Jennifer Clark's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Jennifer Clark enrolled in Medicare?
Yes. Jennifer Clark is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jennifer Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Clark reassigns Medicare benefits to Kandu Medical Services West PC (Van Nuys, CA). 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 Jennifer Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jennifer Clark was last updated on March 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.