Megan Clark, OTR/L, CNT

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

0119005898 Issued in VA

Practice address

7130 Gormel Dr
Springfield, VA 22150-3121

Phone

(703) 434-2316

NPI assigned

Oct 2, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1831674241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7130 GORMEL DR",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221503121",
            "telephone_number": "703-434-2316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7130 GORMEL DR",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221503121",
            "telephone_number": "703-434-2316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "MEGAN",
        "credential": "OTR/L, CNT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-02",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "DC",
            "license": "OT010001159",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "VA",
            "license": "0119005898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT LICENSE VA",
            "identifier": "0119005898",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT LICENSE DC",
            "identifier": "OT010001159",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clarity Health Care Services LLC
• Ann-Marie Clark
• Destiny Clark
• Jordan Amanda Clark, RBT
• Kerrianne Maria Clark, AU.D.
• Nancy Jean Clark, IBCLC
• Trevor Joseph Claveau, RBT
• Dawn Clements, RBT
• Jenna Clemons, PHARMD
• Orion Clouden

• Physical Rehabilitation Occupational Therapist in Springfield, VA
• Providers in Springfield, VA by specialty
• Physical Rehabilitation Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.