Veronica Lake Clark, MOTR/L,CLT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

17100 Issued in NC

Practice address

450 New Market Blvd Ste 3
Boone, NC 28607-5501

Phone

(828) 355-9584

Fax

(828) 355-9689

NPI assigned

Apr 9, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthy Lymphatics of NC PCGroup PAC ID 8426192212, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Healthy Lymphatics of NC PC

  • Occupational Therapist
  • Boone, NC
  • NPI 1437314077
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1744156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1720872146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 NEW MARKET BLVD STE 3",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075501",
            "telephone_number": "828-355-9584",
            "fax_number": "828-355-9689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 NEW MARKET BLVD STE 3",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075501",
            "telephone_number": "828-355-9584",
            "fax_number": "828-355-9689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "VERONICA",
        "middle_name": "LAKE",
        "credential": "MOTR/L,CLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-09",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "17100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Wolfe Clark, NP-C
• Donald L Clark, EDD
• Marc L. Clark, M.D.
• Sara Clark, LCSWA
• Sue S. Clark, MA
• Elizabeth M Clayman, OT/L
• Danielle Cline
• CNC Access Inc
• CNC Access Inc
• CNC Access Inc

• Occupational Therapist in Boone, NC
• Providers in Boone, 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 Apr 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.