NPI age
9 years
Enumerated 2017-01-06
● Active
Type 1 · Individual
Camiel Clark, OTR/L
Clark is 1 of 48 occupational therapist providers in Pocatello and 1 of 626 in Idaho.
Primary specialty
Occupational Therapist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2017-01-06
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 626 active occupational therapist providers in Idaho.
NPI age
9 years
≈ at median (9 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
12% of peers hold subspecialties
NPI lifetime · 2017 → 2026
2017-01Enumerated in NPPES
2017
2026
Where they practice
Practice location
1071 Renee Ave
Pocatello, ID 832012508
Mailing address
1615 E Clark St
Pocatello, ID 832014049
Specialties
-
Occupational Therapist PrimaryAn occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | OT-1635 | AOTA |
Practice context
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
Recently enumerated nearby: 3 new occupational therapist providers have been added in Pocatello in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.