NPPES file of Aug 9, 2026

De'Atra Pruett Clark, OT

Occupational Therapist · Jacksonville, FL

De'Atra Pruett Clark, OT is an occupational therapist with a practice address in Jacksonville, Florida, and NPI 1164427209, issued on Jun 16, 2005. Check the license (Florida OT0007576, as entered in NPPES) on the Florida health license search; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1164427209
Name
De'Atra Pruett Clark
Credential
OT
Primary taxonomy
Occupational Therapist 225X00000X
License number
OT0007576 FL
Self-reported in NPPES; status is on the state search
Practice location
1325 San Marco Blvd, Jacksonville, FL 32207
Phone
(904) 858-7045
Enumerated
Jun 16, 2005
Record last updated
Jul 8, 2007 (not updated in 19 years: call before relying on the address or phone)
Fax
(904) 858-7047
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 1325 San Marco Blvd

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Renante Abagat, PTPhysical Therapist1912017492
  2. Terri Ahern, OTR/LOccupational Therapist1679982565
  3. Bryan Anderson, ATCAthletic Trainer1285839001
  4. Nicole Arena, DPTPhysical Therapist1356603047
  5. Nicole Armstrong, ATCAthletic Trainer1053676072
  6. Jessica Bruno, OTR/LOccupational Therapist1659754836

Verify De'Atra Pruett Clark in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersFlorida health license search
    Search for license OT0007576
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Florida license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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De'Atra Pruett Clark among 7,925 occupational therapist records in Florida

De'Atra Pruett Clark, OT is one of 7,925 occupational therapist records with a practice address in Florida. 10% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2005, is newer than 0% of them.

  • NPI issued2005 · 0% of these records are older, over 99% newer
  • In a Medicare fileNo · 10% of these records are
  • In the CMS Doctors and Clinicians fileNo · 12% of these records are
  • Record last updated2007 · 63% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 225X00000X and a Florida practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

463 occupational therapist records list a practice address in Jacksonville

They are 463 of the 24,194 NPPES records with a practice address in Jacksonville, and 7,925 occupational therapist records in Florida. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

The 8 occupational therapist records with the nearest ZIP codes

  1. Sara Bishop, MOTRLJacksonville, FL 322071427269224
  2. Diana Cratem, OTJacksonville, FL 322071457356867
  3. Christopher Fly, MOTJacksonville, FL 322071346443041
  4. Julia Guthart, OTJacksonville, FL 322071275538696
  5. Lindsey Haugan, OTRJacksonville, FL 322071376766840
  6. Laura Kreger, OTR/L,CHTJacksonville, FL 322071780663021
  7. Heather Lopez, OTR/L, CHTJacksonville, FL 322071629075502
  8. Kathleen Perera, OTRJacksonville, FL 322071932300209

Common questions

What is De'Atra Pruett Clark, OT's NPI number?

De'Atra Pruett Clark, OT's National Provider Identifier (NPI) is 1164427209, issued on Jun 16, 2005. An NPI identifies a provider in billing; it is not a license.

Where is De'Atra Pruett Clark, OT located?

The NPPES record lists a practice address at 1325 San Marco Blvd, Jacksonville, FL, 32207. Phone: (904) 858-7045. Providers update this record themselves, so call before visiting.

How can I verify De'Atra Pruett Clark, OT's license?

NPPES lists Florida license number OT0007576, as entered by the provider. Search the Florida health license search at https://mqa-internet.doh.state.fl.us/mqasearchservices/healthcareproviders. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.