De'Atra Clark, OT
NPI 1164427209 · Occupational Therapist · Jacksonville, FL
De'Atra Clark, OT is a Occupational Therapist provider in Jacksonville, FL (NPI 1164427209).
Provider details
- NPI number
- 1164427209
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OT
- Sex
- Female
- Sole proprietor
- No
- License
- OT0007576 (FL)
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
21 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
- 2005-06-16
- Last updated
- 2007-07-08
Frequently asked questions
- What is De'Atra Clark's NPI number?
- De'Atra Clark's National Provider Identifier (NPI) is 1164427209, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is De'Atra Clark's specialty?
- De'Atra Clark is listed in the NPPES registry with a primary specialty of Occupational Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is De'Atra Clark located?
- De'Atra Clark's practice location on file with NPPES is 1325 San Marco Blvd, Jacksonville, FL 32207-8549.
- What is De'Atra Clark's phone number?
- The practice phone number listed in the NPPES registry for De'Atra Clark is (904) 858-7045.
- Is De'Atra Clark's NPI active?
- Yes — De'Atra Clark's NPI (1164427209) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.