Madelyn Grace Clark, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

2300 Wade Ave
Ashtabula, OH 44004-9435

Phone

(814) 746-1250

NPI assigned

Dec 10, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1733788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1629884010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4608 MEADOWVIEW DR APT 105",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165098512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 WADE AVE",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440049435",
            "telephone_number": "814-746-1250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "143 E 2nd St",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165071501",
            "country_code": "US",
            "telephone_number": "814-878-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "MADELYN",
        "middle_name": "GRACE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-10",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City of Ashtabula Ohio
• Susan Rita Ciufo, CNP/APRN
• Heather Clark-Pizon
• Abigail Louise Clark
• Alexandria Clark
• Jade Clay
• Lilly Claycomb
• Stephanie L Claypool, COTA/L
• Paul Anthony Clemens, RPH, PHARMD
• Louise M Cleveland

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.