IndividualActive
Lauren Clark
NPI 1205253275 · Occupational Therapist · Port Orange, FL
Provider details
- NPI number
- 1205253275
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 103985 (MN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
5535 S Williamson Blvd
Ste 774
Port Orange, FL 32128-8311
Phone: (800) 330-7711
Street-level locationGet directions
Mailing address
1818 Orange Ave E
Saint Paul, MN 55119-4524
Registry dates
- Enumerated
- 2014-03-27
- Last updated
- 2014-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.