Clayton Roark, OT/L
Occupational Therapist in Edenton, NC. Individual provider (NPI-1).
NPI number1154801686
StatusActive
Last updated in NPPESAug 15, 2018
Details
- NPI
- 1154801686
- Entity type
- Individual (NPI-1)
- Name
- Clayton Roark
- Credential
- OT/L
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 15, 2018
- Last updated
- Aug 15, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | – | – | Yes |
Practice location
1341 Paradise RdEdenton, NC 27932-8503
Phone 252-482-3820
Mailing address
135 Tip Toe RdEdenton, NC 27932-9598
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Occupational Therapist providers in Edenton, NC
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