Active NPIIndividual provider

Jada Clark

Occupational Therapist in Gibbsboro, New Jersey

NPI Number1477457737
Practice location
88 S Lakeview Dr, Gibbsboro, NJ 08026-1229
Fax
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Last updated
October 7, 2026

Jada Clark is an Occupational Therapist based in Gibbsboro, NJ. Jada Clark practices in Gibbsboro, NJ. The NPI Number for Jada Clark is 1477457737 and holds a License No. 46TR01280800 (NJ). The current practice location address for Jada Clark is 88 S Lakeview Dr, Gibbsboro, NJ 08026-1229 and can be reached out via phone at 856-484-5535.

Provider Profile Details

NPI Number
1477457737
Provider Name
Jada Clark
Provider Entity Type
Individual
Gender
Female
Address
88 S Lakeview Dr, Gibbsboro, NJ 08026-1229
Phone Number
856-484-5535
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
No
Provider Enumeration Date
October 7, 2026
Last Update Date
October 7, 2026
Certification Date
October 7, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
88 S Lakeview Dr
Gibbsboro, NJ 08026-1229
Zip
08026-1229
Phone Number
856-484-5535
Gibbsboro, NJ 08026Get directions →

Provider Business Mailing Address Details

Address
647 Roosevelt Ave
Glassboro, NJ 08028-3358
City
Glassboro
State
NJ
Zip
08028-3358

License Information

License Number
46TR01280800
License State
NJ
Taxonomy
Occupational Therapist · 225X00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jada Clark?

The NPI number of Jada Clark is 1477457737. It was assigned on October 7, 2026 and is currently active in the NPPES registry.

What is the specialty of Jada Clark?

Jada Clark is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in NJ under license number 46TR01280800.

Where does Jada Clark practice?

The practice location is 88 S Lakeview Dr, Gibbsboro, NJ 08026-1229. The office can be reached at 856-484-5535 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1477457737 directly on the NPPES registry website.

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