Jackie Ryan Clark
- Medicare patients, 2024
- 12
- Affiliated sites
- 1
- Medical group
- 1
- State license
- 1
- Year NPI issued
- 2016
- Practice address
- 320 Park Ave, Boca Grande, FL 33921
- Practice phone
- Call (941) 964-2276
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Boca Grande Health Clinic
Boca Grande, Florida
Find Jackie Clark's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Jackie Ryan Clark is an occupational therapist in Boca Grande, Florida
Jackie Clark practices at Boca Grande Health Clinic in Boca Grande, Florida.
Jackie Clark's NPI, 1124474457, was assigned on May 5, 2016. Jackie Clark holds Florida license OT14395.
- NPI
- 1124474457NPI Registry (opens in a new tab)
- Medicare PAC ID
- 3375978018
- NPI enumeration date
- May 5, 2016
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (941) 964-2276
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 42
- Medical school graduation
- 2010
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)
Jackie Ryan Clark practices at Boca Grande Health Clinic in Boca Grande, Florida
Jackie Clark's primary practice is Boca Grande Health Clinic, at 320 Park Ave, Boca Grande, FL 33921 in Lee County. The practice phone is (941) 964-2276.
- Boca Grande Health Clinic320 Park Ave, Boca Grande, FL 33921 · Lee CountyPhone(941) 964-2276
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Jackie Ryan Clark is affiliated with 2 sites of care and 1 medical group
Jackie Clark's primary practice is Boca Grande Health Clinic in Boca Grande, Florida. The medical group on file is Smile Home Therapy. Dmand AI also links Jackie Clark to 1 more group practice or clinic, named with a free account.
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Jackie Ryan Clark's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Jackie Clark practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Boca Grande Health Clinic | Available with a free account |
| +1 more affiliated site | Available with a free account |
Source: Dmand AI Technology Install Data
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Jackie Ryan Clark is one of 1,682 occupational therapists in Florida
Occupational therapist is Jackie Clark's primary specialty in the NPI Registry, under taxonomy code 225X00000X. Jackie Clark is licensed in Florida.
Specialties and state licenses
- Occupational therapist, FloridaPrimary
Occupational therapists near Jackie Clark
Counts of occupational therapists with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Jackie Ryan Clark treated 12 Medicare patients in 2024, average age 79
CMS counts 12 Medicare patients who saw Jackie Clark in 2024. The largest group is under 65, with 0 patients. Their average risk score is 2.45, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.
Across all payers, Dmand AI patient panel data puts Jackie Clark's median patient age at 76, with 48% women.
Jackie Clark's Medicare patients by age, 2024
CMS leaves out age groups with fewer than 11 patients.
Jackie Clark's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 76
Patient panel by sex, all payers
- Women48%
- Men52%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
How Jackie Ryan Clark takes part in Medicare
Jackie Clark accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Source: Doctors and Clinicians National Downloadable File (CMS)
Sources for Jackie Ryan Clark's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Jackie Ryan Clark
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Jackie Ryan Clark's NPI number?
Jackie Ryan Clark's NPI number is 1124474457. It was assigned on May 5, 2016, and it is active in the NPI Registry.
What does Jackie Ryan Clark specialize in?
Jackie Ryan Clark is an occupational therapist in Boca Grande, Florida. The primary specialty in the NPI Registry is Occupational Therapist (taxonomy code 225X00000X).
Where does Jackie Ryan Clark practice?
Jackie Clark practices at 320 Park Ave, Boca Grande, FL 33921. Jackie Clark's primary practice is Boca Grande Health Clinic in Boca Grande, Florida. Dmand AI also links Jackie Clark to 1 group practice or clinic.
What is Jackie Ryan Clark's office phone number?
The practice phone on file for Jackie Clark is (941) 964-2276.
What is Jackie Ryan Clark's medical license number?
Jackie Clark holds Florida license OT14395.
What medical group is Jackie Ryan Clark part of?
Jackie Clark is linked to Smile Home Therapy.
Does Jackie Ryan Clark accept Medicare?
Yes. CMS lists Jackie Clark as accepting Medicare assignment.
How many Medicare patients does Jackie Ryan Clark see?
CMS counts 12 Medicare patients who saw Jackie Clark in 2024, with an average age of 79.
How long has Jackie Ryan Clark been practicing?
Jackie Clark graduated from medical school in 2010, 16 years ago.
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