Individual provider Active NPI

Brad Allen Clarkson, OTR

  • Physical Rehabilitation Occupational Therapist
  • Marion, OH
National Provider Identifier
1386964245
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
5201005666 Issued in MI
Practice address
1550 Wellness Dr
Marion, OH 43302-6585
Phone
(740) 913-3589
NPI assigned
Jun 2, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT013635 OH
Physical Rehabilitation Occupational Therapist 225XP0019X 5201005666 MI Primary

Addresses

Primary practice location

1550 Wellness Dr
Marion, OH 43302-6585

Mailing address

2826 Nottingham TRL
Bay City, MI 48706-8128
Phone (989) 245-4917

Other practice location 1

1901 Plymouth Rd Apt 201
Ann Arbor, MI 48105-2277
Phone (734) 541-2095

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040809000264 MI Practitioner - Occupational Therapist in Private Practice 6305817040 Reassigns benefits to 2 organizations
I20260515002747 OH Practitioner - Occupational Therapist in Private Practice 6305817040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Reliant Senior Living LLCGroup PAC ID 0446754451, shared by 12 NPIs, 117 clinicians

Practice addresses (Care Compare)

1550 Wellness Dr
Marion, OH 43302-6585
Phone (740) 913-3589

1901 Plymouth Rd
Suite 201
Ann Arbor, MI 48105-2277
Phone (734) 541-2095

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT013635OHMDOccupational Therapist
5201005666MIMDPhysical Rehabilitation Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Powerback Rehabilitation LLC Occupational Therapist CurrentSince Sep 29, 2017 Accepting new patients
Powerback Rehabilitation LLC Occupational Therapist CurrentSince Sep 29, 2017 Accepting new patients

Locations

2885 10 Mile Rd NE
Rockford, MI 49341
Phone (616) 326-0010

7005 Pontiac Trl
West Bloomfield, MI 48323
Phone (248) 681-2476

101 E State St
Kennett Square, PA 19348
Phone (610) 925-4436

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1275436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1386964245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2826 NOTTINGHAM TRL",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487068128",
            "telephone_number": "989-245-4917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 WELLNESS DR",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433026585",
            "telephone_number": "740-913-3589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 Plymouth Rd Apt 201",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481052277",
            "country_code": "US",
            "telephone_number": "734-541-2095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARKSON",
        "first_name": "BRAD",
        "middle_name": "ALLEN",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-02",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT013635",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "MI",
            "license": "5201005666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; 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.