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Active NPI 1376546507 Individual Practitioner Female Practitioner

Kimberly L Clark , OT

Specialist • Gorham, ME

Professional Overview & Biography Verified Profile Summary

Kimberly Clark, OT is a registered healthcare professional specializing in Specialist in Gorham, ME. Practice services are available at 28 CARSON DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

28 Carson Dr

Gorham, ME 040382189

Telephone 2078397117

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Gorham, ME

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.0 Yrs
State Avg: 33.1 Yrs
Regional Practice Density
7 Specialists

Practicing in Gorham, ME (267 Statewide)

Telehealth Adoption Rate
0.0% 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License ME OT521

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1568469716

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 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 28 CARSON DR, GORHAM, ME 040382189 (Tel: 2078397117)

📍
Updated Business Mailing Address July 09, 2007

Registered at 28 CARSON DR, GORHAM, ME 040382189 (Tel: 2078397117)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as KIMBERLY CLARK, OT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Specialist (License #OT521 in ME)

🟢
Initial NPI Registration & Enumeration May 23, 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: 1376546507
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 23, 2005
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

28 Carson Dr

Gorham, ME 040382189

Phone: 2078397117

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.