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

Libby Clark

Individual provider Occupational Therapist · NPI 1306603014

Libby Clark is an Occupational Therapist in Private Practice in Canton, Michigan. Qualified in 2023, 3 years ago. Practices with Fox Rehabilitation Services Mi LLC, a 82-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
3
Licensed in
MI
In the registry since
2024
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Practice location Address checks out

5969 N Canton Center Rd
Canton, MI 48187-2757
Phone: (877) 407-3422
Fax: (877) 407-4329
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 5201013627 (MI)

Record details

NPI number1306603014
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 29, 2024
Last updated in NPPESJuly 3, 2026
Certification dateJuly 3, 2026
Mailing address7 Carnegie Plz, Cherry Hill, NJ 08003-1000

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Fox Rehabilitation Services Mi Llc — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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