Jacob Clark
NPI 1205468006 · Occupational Therapy Assistant · Detroit, MI
Jacob Clark is a Occupational Therapy Assistant provider in Detroit, MI (NPI 1205468006).
Provider details
- NPI number
- 1205468006
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 52002008500 (MI)
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
6 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
- 2020-02-10
- Last updated
- 2020-02-10
- Certified
- 2020-02-10
Frequently asked questions
- What is Jacob Clark's NPI number?
- Jacob Clark's National Provider Identifier (NPI) is 1205468006, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacob Clark's specialty?
- Jacob Clark is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Jacob Clark located?
- Jacob Clark's practice location on file with NPPES is 7800 W Outer Dr Ste 300, Detroit, MI 48235-3458.
- What is Jacob Clark's phone number?
- The practice phone number listed in the NPPES registry for Jacob Clark is (313) 340-4442.
- Is Jacob Clark's NPI active?
- Yes — Jacob Clark's NPI (1205468006) is active in the NPPES registry as of the last update on 2020-02-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.