Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Jackie Clark

Occupational Therapist in Parrish, FL · enumerated 2016.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124474457

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Registry record

Entity type Individual (Type 1)

Name Jackie Clark

Sex Male

Practice address 11472 Walden Loop, Parrish, FL, 34219

Phone (941) 806-7555

Enumeration date May 5, 2016

Last updated in NPPES Dec 6, 2016

Taxonomy & licenses

225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License OT14395 (FL) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1124474457 active?

Yes, as of the latest NPPES snapshot, NPI 1124474457 is active (record last updated 2016-12-06).

How do I verify Jackie Clark's NPI record?

Cross-check NPI 1124474457 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-12-06.