Active NPI
Meghan Clark, OTR/L
- Occupational Therapist
- Redmond, WA
National Provider Identifier
1720612377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 60940965
- Practice address
- 2956 152ND Ave NE Apt 360
Redmond, WA 98052-5362 - Phone
- (425) 298-1990
- NPI assigned
- Feb 22, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 60940965 | WA | Primary |
Addresses
Primary practice location
2956 152ND Ave NE Apt 360
Redmond, WA 98052-5362
Mailing address
8015 SE 58TH St
Mercer Island, WA 98040-4806
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
| License | State | Type | Specialty |
|---|---|---|---|
| 60940965 | WA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582329600000",
"number": "1720612377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8015 SE 58TH ST",
"city": "MERCER ISLAND",
"state": "WA",
"postal_code": "980404806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2956 152ND AVE NE APT 360",
"city": "REDMOND",
"state": "WA",
"postal_code": "980525362",
"telephone_number": "425-298-1990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "MEGHAN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-22",
"last_updated": "2020-02-22",
"certification_date": "2020-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "60940965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redmond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.