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Koletta Rae Clarke, COTA

NPI 1285924092ActiveIndividual· Occupational Therapy Assistant· Mount Vernon, IL

Occupational Therapy Assistant (COTA) in Mount Vernon, Illinois, licensed in IL, with an NPI issued in April 2011.

Overview

NPI1285924092
StatusActive
Entity typeIndividual
CredentialCOTA
Sole proprietorNo
NPI issuedApr 13, 2011
Last updated in NPPESApr 13, 2011

Specialties and licenses

TaxonomyCodeLicenseState
Occupational Therapy Assistant Primary224Z00000X057.003262IL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Occupational Therapy Assistant providers in Mount Vernon

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