Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Khalen Dewar Clark, OTD

Individual provider Gerontology Occupational Therapist · NPI 1629798905

Dr. Khalen Dewar Clark, OTD is an Occupational Therapist in Private Practice in Ruskin, Florida. Qualified in 2022, 4 years ago. Practices with Aspire Therapy and Wellness LLC, a 30-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2022
What do these letters mean?
OTD — Doctor of Occupational Therapy
The doctoral degree in occupational therapy.

See every abbreviation used in this directory →

Practice location Address checks out

3533 Great Cypress Cir Apt 302
Ruskin, FL 33573-6863
Phone: (412) 526-2921
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Occupational Therapist (primary) Taxonomy 225XG0600X

Record details

NPI number1629798905
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTD
Sole proprietorYes
NPI enumeratedAugust 29, 2022
Last updated in NPPESAugust 29, 2022
Certification dateAugust 29, 2022
Mailing address3533 Great Cypress Cir Apt 302, Ruskin, FL 33573-6863

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Aspire Therapy And Wellness Llc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount