Alyssa Clark, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT.0004991 Issued in CO

Practice address

8301 Detroit Ave
Cleveland, OH 44102-1859

Phone

(216) 791-3800

NPI assigned

Jun 22, 2017

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

Other names 1

• Alyssa Bley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1407376288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 DETROIT AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441021859",
            "telephone_number": "216-791-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 DETROIT AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441021859",
            "telephone_number": "216-791-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ALYSSA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-22",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0004991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "BLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Clarity Wellness Behavioral Health Center, LLC
• Nadia Angela Clarizia, MD
• Vivian A. Clark-Jacobs, PA-C
• Alexis Breaja Clark
• Allison Rae Clark, LPCC
• Bernadette Clark, QMHS 3YRS CMS HS
• Brian K Clark Sr.
• Briana Lashae Clark, HIGH SCHOOL DIPLOMA
• Chaundrea Nicole Clark, STNA
• Christina Simone Clark, ACNP

• Occupational Therapist in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Occupational Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.