P Praxis·MD
● Active Type 1 · Individual

Camiel Clark, OTR/L

Occupational Therapist·Pocatello, ID· NPI 1821534439 · Enumerated 2017 · 9 years on NPI
Clark is 1 of 48 occupational therapist providers in Pocatello and 1 of 626 in Idaho.
NPI age
9 years
Enumerated 2017-01-06
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
📞 2082331411
Mailing address
1615 E Clark St
Pocatello, ID 832014049
📞 9072527295

Specialties

  • Occupational Therapist Primary
    An 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...
    ID license #OT-1635 taxonomy 225X00000X

Identifiers

TypeValueNotes
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. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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