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Active NPI 1124474457 Individual Practitioner Male Practitioner

Jackie Clark

Occupational Therapist • Parrish, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jackie Clark is a certified Occupational Therapist practicing in Parrish, FL. With approximately 16 years of clinical experience since completing medical education in 2010, Jackie Clark delivers high-quality medical care to the local community at 11472 WALDEN LOOP.

Jackie Clark accepts Medicare assignment.

Frequently performed procedures and clinical services include therapy procedure using functional activities, sensory technique to enhance processing and adaptation to environmental demands, each, therapy procedure to re-educate brain-to-nerve-to-muscle function, each. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

11472 Walden Loop

Parrish, FL 342197565

Telephone 9418067555

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Occupational Therapist in Parrish, FL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
16 Yrs +2.0 yrs vs City Avg
City Avg: 14.0 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
8 Specialists

Practicing in Parrish, FL (8046 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
26.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Clark (16 Years) 16 Yrs
Parrish Specialty Average (14.0 Years) 14.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97530 Therapy procedure using functional activities
554 12 $41.87 $24.86
97533 Sensory technique to enhance processing and adaptation to environmental demands, each 15 minutes
309 12 $70.40 $50.76
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
254 12 $38.69 $24.55
97166 Evaluation of occupational therapy, typically 45 minutes
14 12 $116.75 $97.21

Medical Specialties & State Licenses

Occupational Therapist Primary Specialty

NUCC Taxonomy Code: 225X00000X

State License FL OT14395

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.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 06, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 06, 2016

Registered at 11472 WALDEN LOOP, PARRISH, FL 342197565 (Tel: 9418067555)

📍
Updated Business Mailing Address December 06, 2016

Registered at 11472 WALDEN LOOP, PARRISH, FL 342197565 (Tel: 9418067555)

👤
Provider Name / Credentials Updated December 06, 2016

Recorded as JACKIE CLARK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 06, 2016

Occupational Therapist (License #OT14395 in FL)

🟢
Initial NPI Registration & Enumeration May 05, 2016

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: 1124474457
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 05, 2016
Last Update: December 06, 2016
Sole Proprietor: No

Mailing Address

11472 Walden Loop

Parrish, FL 342197565

Phone: 9418067555

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.