Individual provider Active NPI

Lesha Danielle Clarke, OTR

  • Occupational Therapist
  • St Augustine, FL
National Provider Identifier
1700377462
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
23300 Issued in FL
Practice address
111 Nature Walk Pkwy Unit 108
St Augustine, FL 32092-3065
Phone
(904) 328-7489
Fax
(904) 490-8549
NPI assigned
May 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 23300 FL Primary

Addresses

Primary practice location

111 Nature Walk Pkwy Unit 108
St Augustine, FL 32092-3065

Mailing address

234 Goldcrest Way
St Augustine, FL 32092-3379
Phone (734) 645-8579

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
23300FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Honey Pediatric Behavioral Health LLC CurrentSince Sep 14, 2025 Accepting new patients
Lively Speech and Language Therapy, LLC CurrentSince Sep 14, 2025 Accepting new patients
Premier Therapy Centers, Inc Past Accepting new patients
Rehabcare Group East, LLC Past Accepting new patients
Premier Therapy Centers, Inc. Occupational Therapist Past Accepting new patients

Locations

111 Nature Walk Pkwy
Unit 108
St Augustine, FL 32092
Phone (904) 328-7489

Organizations & group practices 5

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": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1700377462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 GOLDCREST WAY",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320923379",
            "telephone_number": "734-645-8579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 NATURE WALK PKWY UNIT 108",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320923065",
            "telephone_number": "904-328-7489",
            "fax_number": "904-490-8549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "LESHA",
        "middle_name": "DANIELLE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-29",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "23300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

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