IndividualActive
Alicia Clark, OTR/L
NPI 1790441798 · Occupational Therapist · Park City, UT
Provider details
- NPI number
- 1790441798
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- License
- 12326251-4201 (UT)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
900 Round Valley Dr
Park City, UT 84060-7552
Phone: (435) 658-7000
Approximate (ZIP-level) locationGet directions
Mailing address
6318 View Dr
Park City, UT 84098-6156
Registry dates
- Enumerated
- 2021-11-14
- Last updated
- 2022-10-05
- Certified
- 2022-10-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.