Kenneth Clark, COTA
NPI 1063887834 · Occupational Therapy Assistant · Colorado Springs, CO
Kenneth Clark, COTA is a Occupational Therapy Assistant provider in Colorado Springs, CO (NPI 1063887834).
Provider details
- NPI number
- 1063887834
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Male
- Sole proprietor
- Yes
- License
- OTA.0000671 (CO)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-12-04
- Last updated
- 2015-12-04
Frequently asked questions
- What is Kenneth Clark's NPI number?
- Kenneth Clark's National Provider Identifier (NPI) is 1063887834, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Clark's specialty?
- Kenneth Clark is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Kenneth Clark located?
- Kenneth Clark's practice location on file with NPPES is 4885 Eldon Dr S, Colorado Springs, CO 80916-4431.
- What is Kenneth Clark's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Clark is (253) 486-3624.
- Is Kenneth Clark's NPI active?
- Yes — Kenneth Clark's NPI (1063887834) is active in the NPPES registry as of the last update on 2015-12-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.