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

Shannon Clark, OT

Individual provider Occupational Therapist · NPI 1962268961

Shannon Clark, OT is an Occupational Therapist in Private Practice in Charlottesville, Virginia. Qualified in 2023, 3 years ago. Practices with University of Virginia Physicians Group, a 1,667-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2024
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

2280 Ivy Rd
Charlottesville, VA 22903-4977
Phone: (434) 243-0311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1215 Lee St, Charlottesville, VA 22908-0816 — (434) 243-0311

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1962268961
Entity typeIndividual (Type 1)
GenderFemale
Credentials OT
Sole proprietorNo
NPI enumeratedFebruary 27, 2024
Last updated in NPPESFebruary 27, 2024
Certification dateFebruary 27, 2024

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 University Of Virginia Physicians Group — 1667 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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