ALYSSA CLARK
NPI 1750931648
Occupational Therapist in Mchenry, IL

Active since September 13, 2019Accepts Medicare Assignment
4605 W CRYSTAL LAKE RD, MCHENRY, IL 60050(224) 202-7114 Get Directions Write a Review

NPPES record last updated: December 23, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 23, 2020, Sep 13, 2019 (2 updates tracked since 2019).

About Alyssa Clark NPPES

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

ALYSSA CLARK (NPI 1750931648) is an individual occupational therapist in Mchenry, Illinois, licensed in Illinois (056.013238) and active in the NPI registry since September 2019. She is a graduate of Other (2019).

NPPES Registry Identity

NPI1750931648
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameALYSSA CLARK
Location Address4605 W CRYSTAL LAKE RDMchenry, IL 60050-5484
Mailing AddressPo Box 213Elgin, IL 60121-0213
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 13, 2019
Last NPPES UpdateDecember 23, 20202 updates tracked since enumeration
NPPES CertifiedDecember 23, 2020
NPI 1750931648 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 IL · 056.013238
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.
4605 W CRYSTAL LAKE RD, Mchenry, IL 60050

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Alyssa Clark 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 ID9436489721
PECOS Enrollment IDI20190930002667

Other Providers at the Same Location NPPES 3

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

Speech-Language Pathologist
4605 W CRYSTAL LAKE RD
MCHENRY, IL 60050
Occupational Therapist
4605 W CRYSTAL LAKE RD
MCHENRY, IL 60050
Speech-Language Pathologist
4605 W CRYSTAL LAKE RD
MCHENRY, IL 60050

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 Alyssa Clark's NPI number?

The NPI number for Alyssa Clark is 1750931648. It was assigned to this individual provider in the NPPES registry on September 13, 2019.

Where is Alyssa Clark located?

Alyssa Clark practices at 4605 W Crystal Lake Rd, Mchenry, IL 60050. The listed phone number is (224) 202-7114.

What is Alyssa Clark's specialty?

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

Is Alyssa Clark enrolled in Medicare?

Yes. Alyssa 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.

When was this NPI record last updated?

The NPPES record for Alyssa Clark was last updated on December 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.