Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164427209 Individual Practitioner Female Practitioner

De'atra Pruett Clark , OT

Occupational Therapist • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

De'Atra Clark, OT is a registered healthcare professional specializing in Occupational Therapist in Jacksonville, FL. Practice services are available at 1325 SAN MARCO BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1325 San Marco Blvd
Ste 102

Jacksonville, FL 322078549

Telephone 9048587045
Fax 9048587047
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Occupational Therapist in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.4 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
465 Specialists

Practicing in Jacksonville, FL (8046 Statewide)

Telehealth Adoption Rate
0.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Occupational Therapist Primary Specialty

NUCC Taxonomy Code: 225X00000X

State License FL OT0007576

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Kristin Kern , DPT

Physical Therapist

NPI 1013295369

Doctor of Physical Therapy

Tiffany Kidd , ATC

Specialist/Technologist - Athletic Trainer

NPI 1033464136

Certified Athletic Trainer

Nicole Armstrong , ATC

Specialist/Technologist - Athletic Trainer

NPI 1053676072

Certified Athletic Trainer

Sonya Thigpen , AT

Specialist/Technologist - Athletic Trainer

NPI 1063432854
Gregory Heeter , MS, ATC, LAT

Specialist/Technologist - Athletic Trainer

NPI 1073902623

Master of Science, Certified Athletic Trainer, Licensed Athletic Trainer

Megan Cooper , LMT

Massage Therapist

NPI 1083136550

Licensed Massage Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1325 SAN MARCO BLVD, STE 102, JACKSONVILLE, FL 322078549 (Tel: 9048587045)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1325 SAN MARCO BLVD, SUITE 701, JACKSONVILLE, FL 322078568 (Tel: 9048586418)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DE'ATRA CLARK, OT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Occupational Therapist (License #OT0007576 in FL)

🟢
Initial NPI Registration & Enumeration June 16, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164427209
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 16, 2005
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

1325 San Marco Blvd, Suite 701

Jacksonville, FL 322078568

Phone: 9048586418

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.