Heaven Clark, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

13518 Issued in NC

Practice address

919 Stokes St
Burlington, NC 27215-6537

Phone

(704) 450-3749

NPI assigned

Dec 2, 2024

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

Credentials

Master of Science

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.

• Lifespan, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Statesville, NC
  • NPI 1003965781
  NPD (past)

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1609692987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 73",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281150073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 STOKES ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272156537",
            "telephone_number": "704-450-3749"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 W Broad St",
            "address_purpose": "LOCATION",
            "city": "Statesville",
            "state": "NC",
            "postal_code": "286775260",
            "country_code": "US",
            "telephone_number": "704-872-8579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "HEAVEN",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-02",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "13518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brice Phillip Clairmont, DDS
• John Terry Clapacs II, MD
• Benjamin Lee Clapp
• Patricia Wagoner Clapp, RN, ANP-C
• Amanda Myers Clark, CNM
• Jerry Kent Clark Jr.
• Jessica C Clark, PA-C
• Joseph M Clark, MD
• Meghan Rosilae Clark, PA-C
• Temesha Clark

• Occupational Therapist in Burlington, NC
• Providers in Burlington, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; 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.