Clara Grace Mack, OTD

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

1946 W Nelson St Apt 2W
Chicago, IL 60657-2055

Phone

(612) 850-0606

NPI assigned

Jun 25, 2025

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1750809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759622400000",
    "number": "1093603409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1946 W NELSON ST APT 2W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606572055",
            "telephone_number": "612-850-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1946 W NELSON ST APT 2W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606572055",
            "telephone_number": "612-850-0606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4908 N Elston Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606302506",
            "country_code": "US",
            "telephone_number": "773-205-8505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACK",
        "first_name": "CLARA",
        "middle_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "OTD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-25",
        "last_updated": "2025-10-05",
        "certification_date": "2025-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mack Physical Therapy LLC
• Astrid K. Mack, MD
• Bianca McKenzie Mack
• Bonnie Mack, PHARMD
• Charlene Mack
• Cori Mack, P.T
• Cynthia C Mack, LMT
• Dayna M Mack
• Elaine Mack, L.AC
• Erica Mack, LSW

• Occupational Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.