Victoria Clark, MS, OTR/L

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

2199 Issued in NV

Practice address

540 W Plumb Lane
Suite 201
Reno, NV 89509-3683

Phone

(775) 853-7513

Fax

(775) 853-7523

NPI assigned

Jun 4, 2019

Last updated

Aug 5, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mt Grant General Hospital

  • Critical Access Hospital
  • Hawthorne, NV
  • NPI 1801844527
  NPD (past)
• Prime Healthcare Services - Reno LLC

  dba Saint Mary's Regional Medical Center

  • General Acute Care Hospital
  • Reno, NV
  • NPI 1801152566
  NPD (past)
• South Lyon Health Center, Inc.

  dba South Lyon Medical Center

  • Physical Therapist
  • Yerington, NV
  • NPI 1407815194
  NPD (past)
• Sparks Family Hospital Inc

  dba Northern Nevada Medical Center

  • General Acute Care Hospital
  • Sparks, NV
  • NPI 1548250582
  NPD (past)

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1205494275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 W PLUMB LANE",
            "address_2": "SUITE 201",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895093683",
            "telephone_number": "775-853-7513",
            "fax_number": "775-853-7523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 W PLUMB LANE",
            "address_2": "SUITE 201",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895093683",
            "telephone_number": "775-853-7513",
            "fax_number": "775-853-7523"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "696 Hampshire Rd # 180A",
            "address_purpose": "LOCATION",
            "city": "Westlake Village",
            "state": "CA",
            "postal_code": "913612699",
            "country_code": "US",
            "telephone_number": "805-497-1700",
            "fax_number": "805-497-1066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18911 Nordhoff St Ste 37",
            "address_purpose": "LOCATION",
            "city": "Northridge",
            "state": "CA",
            "postal_code": "913243774",
            "country_code": "US",
            "telephone_number": "818-435-2800",
            "fax_number": "818-435-2810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "VICTORIA",
        "name_prefix": "Ms.",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-04",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT19839",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "NV",
            "license": "2199",
            "primary": true
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shararyah Clark
• Shirley Mae Clark
• Tamela Clark
• Tory Clark, LDAC INTER
• Tresure Clark
• Karen Clarke-Fuhs, CADC-I
• Sarah Clarke
• Caitlin M Clarkin, PA-C
• Julie Smith Clas, P.A.
• Patrick Lee Class, M.D.

• Hand Occupational Therapist in Reno, NV
• Providers in Reno, NV by specialty
• Hand Occupational Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.