CHRISTIE M CLARK (NPI# 1053638155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053638155 |
| Entity Type | Individual |
| Full Name | CHRISTIE M CLARK |
| Other Name | CHRISTIE M BENEDICT |
| Credential | OT |
| Practice Address |
503 N Maple St Effingham IL 62401 |
| Practice Telephone | 2173471243 |
| Practice Fax Number | 2173471558 |
| Mailing Telephone | 2173471243 |
| Mailing Fax Number | 2173471558 |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2012-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 056004595 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114231784 | Christie B Clark | Speech-Language Pathologist | 787 E Long Bay Dr, Inman, SC 29349-5916 | 2010-08-05 |
| Street Address |
503 N MAPLE ST |
| City | EFFINGHAM |
| State | IL |
| Zip Code | 62401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578525366 | Ashokkumar Vinaychandra Shah | Anesthesiology | 503 N Maple St, Effingham, IL 62401-2006 | 2006-04-05 |
| 1881214104 | St Anthony's Memorial Hospital of The Hospital Sisters of The Third Or | General Acute Care Hospital | 503 N Maple St, Effingham, IL 62401-2006 | 2020-04-17 |
| 1205487790 | Amanda Baker | Physical Therapist | 503 N Maple St, Effingham, IL 62401-2006 | 2019-09-25 |
| 1013564962 | Jodi Lynn Isley | Nurse Practitioner | 503 N Maple St, Effingham, IL 62401-2099 | 2019-08-23 |
| 1699320234 | Kathryn Michelle Rincker | Nurse Practitioner | 503 N Maple St, Effingham, IL 62401 | 2019-08-08 |
| 1093280901 | Bethany Renee Stone | Nurse Practitioner | 503 N Maple St, Effingham, IL 62401-2006 | 2018-10-06 |
| 1265929160 | Bridget Katherine Estes | Nurse Anesthetist, Certified Registered | 503 N Maple St, Effingham, IL 62401-2099 | 2018-04-16 |
| 1538661475 | Cep America Illinois Intensivists | Internal Medicine | 503 N Maple St, Effingham, IL 62401-2006 | 2018-03-07 |
| 1710489349 | Adrienne Beth Kinney | Family Medicine | 503 N Maple St, Effingham, IL 62401 | 2018-02-28 |
| 1629577812 | Cepamerica Illinois LLP | Emergency Medicine | 503 N Maple St, Effingham, IL 62401-2006 | 2018-02-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568021269 | Rhodes To Health, LLC | Chiropractor | 200 E. Fayette Ave, Effingham, IL 62401 | 2019-06-07 |
| 1467951699 | Sarah Bush Lincoln Health Center | Durable Medical Equipment & Medical Supplies | 903 N Maple St, Effingham, IL 62401 | 2018-02-02 |
| 1033632187 | Diel Counseling Inc. | Counselor | 444 S. Willow #7, Effingham, IL 62401 | 2017-07-20 |
| 1770930968 | Community Support Systems | Intermediate Care Facility, Mentally Retarded | 2311 Veterans Drive, Effingham, IL 62401 | 2016-05-18 |
| 1194107102 | Radhika Annam | Internal Medicine | 500 N. Maple St., Joslin Diabetes Center Affiliate At Hshs Medical Group, Effingham, IL 62401 | 2015-06-25 |
| 1912334558 | Ruben Boyajian, Md | Surgery | 904 Medical Park Drive, Suite 2, Effingham, IL 62401 | 2013-09-27 |
| 1427483502 | Daniel E Czajkowski | Physical Therapist | 2611 S Banker St, Effingham, Il, Effingham, IL 62401 | 2013-09-09 |
| 1093140501 | Lifetime Dental Care of Maryland, Badger, P.C. | Dentist | 1200 Network Centre Drive, Suite #2, Effingham, IL 62401 | 2013-09-04 |
| 1689926487 | Wellness Loft Inc. | Counselor | 408 South 4th St., Effingham, IL 62401 | 2012-10-04 |
| 1598011470 | Patricia R. Diel | Social Worker | 444 S. Willow, Suite 7, Effingham, IL 62401 | 2012-07-30 |
| Find all providers in zip 62401 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811443989 | Maggie Elizabeth Brown | Occupational Therapist | 1002 N Oceola St, Effingham, IL 62401-3115 | 2016-08-29 |
| 1295217164 | Rose Catherine Borries | Occupational Therapist | 1301 N Maple St, Effingham, IL 62401-1779 | 2018-09-06 |
| 1194232314 | Samantha Jo Flynn | Occupational Therapist | 802 N Glenwood St, Effingham, IL 62401-3200 | 2018-01-09 |
| 1841694809 | Rosalie Swaine | Occupational Therapist | 901 Medical Park Dr, Suite 100, Effingham, IL 62401-2191 | 2014-10-20 |
| 1477990638 | Carol S Davis | Occupational Therapist | 244 High Watch Rd, Effingham, NH 03882-8336 | 2013-05-29 |
| 1871845024 | Nicole Sue Deters | Occupational Therapist | 503 N Maple St, Effingham, IL 62401-2006 | 2012-10-12 |
| 1366792897 | Kristen Wade Grady | Occupational Therapist | 1610 N Lakewood Dr, Effingham, IL 62401 | 2012-09-12 |
| 1801144100 | Peter Theodorus Bleeker | Occupational Therapist | 503 N Maple St, Effingham, IL 62401-2006 | 2012-08-17 |
| 1922245505 | Heather Dawn Mcdaniel | Occupational Therapist | 1303 W Evergreen Ave, Effingham, IL 62401-1619 | 2009-01-19 |
| 1699920074 | Danielle M Westendorf | Occupational Therapist | 901 Medical Park Dr, Suite 100, Effingham, IL 62401-2191 | 2008-11-26 |
| Find all providers in EFFINGHAM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.