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

Koreena Clark

Individual provider Occupational Therapist · NPI 1043911985

Koreena Clark is an Occupational Therapist in Private Practice in Pasadena, Maryland. Qualified in 2020, 6 years ago. Practices with Fox Rehab OT MD LLC, a 59-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
6
Licensed in
MD
In the registry since
2023

Practice location Address checks out

3654 Seaford Ct
Pasadena, MD 21122-6451
Phone: (443) 850-3577
Show map & directions

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

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 09209 (MD)

Record details

NPI number1043911985
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 16, 2023
Last updated in NPPESMay 7, 2025
Certification dateMay 7, 2025
Mailing address3654 Seaford Ct, Pasadena, MD 21122-6451

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Fox Rehab Ot Md Llc — 59 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Pasadena