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

Mikayla Clark

Individual provider Occupational Therapist · NPI 1063378586

Mikayla Clark is an Occupational Therapist in Private Practice in Springfield, Massachusetts. Qualified in 2025, 1 year ago. Practices with Preferred Therapy Outpatient Services of MA LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
1
Licensed in
MA
In the registry since
2025

Practice location Address checks out

807 Wilbraham Rd
Springfield, MA 01109-2067
Phone: (413) 355-5854
Show map & directions

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

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OTL36385 (MA)

Record details

NPI number1063378586
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 29, 2025
Last updated in NPPESDecember 29, 2025
Certification dateDecember 29, 2025
Mailing address84 Sessions Dr, Hampden, MA 01036-9505

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Preferred Therapy Outpatient Services Of Ma Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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