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

Mrs. Melissa Alexandria Clark, OTR/L, CLT

Individual provider Occupational Therapist · NPI 1215574892

Mrs. Melissa Alexandria Clark, OTR/L, CLT is an Occupational Therapist in Private Practice in Rochester, New York. Qualified in 2002, 24 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
24
Licensed in
NY
In the registry since
2019
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

1200 Jefferson Rd Ste 110
Rochester, NY 14623-3158
Phone: (585) 363-5255
Fax: (585) 282-0086
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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 012689-1 (NY)

Record details

NPI number1215574892
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L , CLT
Sole proprietorYes
NPI enumeratedDecember 3, 2019
Last updated in NPPESNovember 4, 2025
Certification dateNovember 4, 2025

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Not indicated

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