National Provider Identifier
Melissa Alexandria Clark, OTR/L, CLT
Melissa Alexandria Clark, OTR/L, CLT is listed in the NPPES registry with a primary specialty of Occupational Therapist in Rochester, NY and a listed phone number of (585) 363-5255.
Profile Overview
- NPI
- 1215574892
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- December 03, 2019
- Last Updated
- November 04, 2025
Practice Location
- 1200 Jefferson RD Ste 110
- Rochester, NY 14623-3158
Phone: (585) 363-5255
Mailing Address
- 21 Sunberry Dr
- Penfield, NY 14526-2836
Specialties
- Occupational Therapist (225X00000X)
Endpoints
- melissa.clark@clarkcancertherapy.com
Direct Messaging Address | Direct | Csv | Rochester, NY 14623
Full Record
- NPI
- 1215574892
- Entity Type
- Individual
- Last Name
- Clark
- First Name
- Melissa
- Middle Name
- Alexandria
- Name Prefix
- Mrs.
- Credential
- OTR/L, CLT
- Mailing Street Address
- 21 Sunberry Dr
- Mailing City
- Penfield
- Mailing State
- NY
- Mailing ZIP Code
- 14526-2836
- Mailing Country
- US
- Mailing Phone
- (585) 363-5255
- Practice Street Address
- 1200 Jefferson RD Ste 110
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14623-3158
- Practice Country
- US
- Practice Phone
- (585) 363-5255
- Practice Fax
- (585) 282-0086
- Enumeration Date
- December 03, 2019
- Last Updated
- November 04, 2025
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- November 04, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)
- Other Identifiers
- 012689-1 (NY, State License)