Wanda Clark, OTA
NPI 1578764056 · Occupational Therapy Assistant · Jacksonville, FL
Wanda Clark, OTA is a Occupational Therapy Assistant provider in Jacksonville, FL (NPI 1578764056).
Provider details
- NPI number
- 1578764056
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTA
- Sex
- Female
- Sole proprietor
- No
- License
- OTA4733 (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
19 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
- 2007-05-30
- Last updated
- 2007-07-08
Frequently asked questions
- What is Wanda Clark's NPI number?
- Wanda Clark's National Provider Identifier (NPI) is 1578764056, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Wanda Clark's specialty?
- Wanda Clark is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Wanda Clark located?
- Wanda Clark's practice location on file with NPPES is 1422 San Marco Blvd, Jacksonville, FL 32207-8536.
- What is Wanda Clark's phone number?
- The practice phone number listed in the NPPES registry for Wanda Clark is (904) 306-0177.
- Is Wanda Clark's NPI active?
- Yes — Wanda Clark's NPI (1578764056) 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.