Kayla Marie Clark

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA-050027 Issued in AZ

Practice address

308 N Martin Ave
Gila Bend, AZ 85337

Phone

(928) 683-2286

NPI assigned

Sep 25, 2026

Last updated

Sep 25, 2026By the provider in NPPES

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

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

{
    "created_epoch": "1790294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790294400000",
    "number": "1396658860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 N HARVEY AVE",
            "city": "PIMA",
            "state": "AZ",
            "postal_code": "855439768",
            "telephone_number": "928-298-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 N MARTIN AVE",
            "city": "GILA BEND",
            "state": "AZ",
            "postal_code": "85337",
            "telephone_number": "928-683-2286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "KAYLA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-25",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AZ",
            "license": "OTA-050027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adelante Healthcare Inc (Adelante Healthcare Gila Bend Behavioral Health)
• Adelante Healthcare, Inc. (Adelante Healthcare-Gila Bend)
• County of Maricopa - Maricopa County School Dist 24
• Dhew Ind HLTH SV HLTH SVS & MNTL HLTH (Gila Bend Clinic)
• Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm (Gila Bend Clinic Professional Services)
• Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm (San Lucy Clinic)
• Dhew Indian Health Service Health Services & Mental Health Adm. (Gila Bend Clinic Dental Services)

• Occupational Therapy Assistant in Gila Bend, AZ
• Providers in Gila Bend, AZ by specialty
• Occupational Therapy Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.