Kaila Clark, OTD

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTH-008520 Issued in AZ

Practice address

9150 W Indian School Rd Ste 105
Phoenix, AZ 85037-2385

Phone

(480) 787-5387

NPI assigned

Jul 30, 2021

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

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 and National Provider Directory roles.

• Therapy Tree, PLLC

  • Hearing and Speech Clinic/Center
  • Phoenix, AZ
  • NPI 1306240817
  NPD (past)
• Therapy Tree Group PLLC

  • Hearing and Speech Clinic/Center
  • Houston, TX
  • NPI 1689385973
  NPD (past)

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1285307538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15801 W MONTECITO AVE",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853957791",
            "telephone_number": "763-258-6693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 W INDIAN SCHOOL RD STE 105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850372385",
            "telephone_number": "480-787-5387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "KAILA",
        "credential": "OTD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-30",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "OTH-008520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jhameca Clark
• Joanna J Clark, M.S., CCC-SLP
• Jody R Clark
• Justin Clark, PA-C
• Justin John Clark, PHARMD
• Kailynn Andrea Clark, FNP-C
• Kaitlin T Clark, P.T.
• Kaiya Clark, RN
• Kameryn Clark
• Karen Danielle Clark, CTRS

• Occupational Therapist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.