Melissa B Clark, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

3881 Issued in AL

Practice address

805 Saint Vincents Dr
Suite a
Birmingham, AL 35205-1636

Phone

(205) 212-9435

Fax

(205) 212-3299

NPI assigned

May 5, 2006

Last updated

Dec 11, 2015By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Medical College of Georgia School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Unc Physicians Group Practices II LLCGroup PAC ID 2466865944, 60 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.41 of 100Reported as group

Quality

76.58

Promoting interoperability

100

Improvement activities

40

Cost

78.13

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Unc Physicians Group Practices II, LLC

  dba UNC Health Cary Orthopaedic and Sports Medicine Specialists

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Cary, NC
  • NPI 1053919183
  Medicare reassignment Care Compare group NPD
• Unc Physicians Group Practices II, LLC

  dba UNC Health Raleigh Orthopedic Clinic

  • Orthopaedic Surgery Physician
  • Morrisville, NC
  • NPI 1649878786
  NPD
• Rehab Associates, LLC

  dba Champion Sports Medicine - Hand Therapy

  • Rehabilitation Clinic/Center
  • Birmingham, AL
  • NPI 1730578295
  NPD (past)

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449792000000",
    "number": "1235187576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 ROSELANE ST NW",
            "address_2": "SUITE 201",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607902",
            "telephone_number": "470-259-5226",
            "fax_number": "267-321-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 SAINT VINCENTS DR",
            "address_2": "SUITE A",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051636",
            "telephone_number": "205-212-9435",
            "fax_number": "205-212-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "MELISSA",
        "middle_name": "B",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2015-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "3881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lita A. Clark, PHD, LPC, SAP
• Lyndsay Cogdill Clark, LICSW, PIP
• Madalyn Clark
• Manay Clark, O.D.
• Matthew Gill Clark, M.D.
• Michael Dean Clark Jr.
• Myra Clark
• Nicole Renae Clark, LICSW
• Owen Matthew Clark, MD
• Sally Marie Clark, MS, CCC-SLP

• Occupational Therapist in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Occupational Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.