Mary Louise Clark, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0060641 Issued in NY

Practice address

620 Westfall Rd
Rochester, NY 14620-4610

Phone

(585) 461-8572

Fax

(585) 461-8545

NPI assigned

Feb 28, 2007

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)

Enrolled

State licenses

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932236619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 SUNSET DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182321",
            "telephone_number": "585-244-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 WESTFALL RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146204610",
            "telephone_number": "585-461-8572",
            "fax_number": "585-461-8545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "MARY",
        "middle_name": "LOUISE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "0060641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keturah S. Clark
• Kristin Marie Clark, MS SPECIAL EDUCATION
• Kristine Nicole Clark, DNP, ANP-C
• Lauren Kathleen Clark
• Linda Levita Clark, M.D., M.S.
• Maura Clark, RPH
• Megan Clark, P.A.
• Melissa Alexandria Clark, OTR/L, CLT
• Michelle F Clark, RD
• Nancy S Clark, M.D.

• Occupational Therapist in Rochester, NY
• Providers in Rochester, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.