Alicia Clark, OTR/L
NPI 1790441798ActiveIndividual· Occupational Therapist· Park City, UT
Occupational Therapist (OTR/L) in Park City, Utah, licensed in UT, with an NPI issued in November 2021.
Overview
| NPI | 1790441798 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OTR/L |
| Sole proprietor | No |
| NPI issued | Nov 14, 2021 |
| Last updated in NPPES | Oct 5, 2022 |
| Certified by provider | Oct 5, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | 12326251-4201 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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