MRS. LORI DAMON CLARK (NPI# 1114258530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114258530 |
| Entity Type | Individual |
| Full Name | MRS. LORI DAMON CLARK |
| Credential | OT-A |
| Practice Address |
216 Main Street Lake Village AR 71653 |
| Practice Telephone | 8702653950 |
| Practice Fax Number | 8702652525 |
| Mailing Telephone | 8702653950 |
| Mailing Fax Number | 8702652525 |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2020-10-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | OT-A295 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 139834721 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710347612 | Lori Clark | Contractor | 4487 Trail St, Norco, CA 92860-2487 | 2016-03-04 |
| 1558731273 | Lori Clark | Pharmacist | 720 E Hwy 74 Business, Rockingham, NC 28379-0000 | 2015-10-07 |
| 1912335571 | Lori A Clark | Registered Nurse | 3417 Carman Rd, Schenectady, NY 12303-5319 | 2013-10-17 |
| 1649493255 | Lori Karin Clark | Chiropractor | 2309 Rt 541, Burlington, NJ 08016 | 2007-04-11 |
| 1437274982 | Lori Ann Clark | Physical Therapy Assistant | Old Midland Trail-rt. 60, Ansted, WV 25812 | 2007-03-20 |
| 1073575213 | Lori J Clark | Optometrist | 1145 Manhattan Ave, Manhattan Beach, CA 90266-5333 | 2006-04-04 |
| 1568094530 | Lori Clark | Nurse Practitioner | 630 E River St, Elyria, OH 44035-5902 | 2020-02-07 |
| 1376040493 | Lori Renee Clark | Dietitian, Registered | 1201 Hadley Rd, Mooresville, IN 46158-1737 | 2018-04-06 |
| 1912330275 | Lori Johnson Clark | Pharmacist | 300 Twining St, Montgomery, AL 36112-6027 | 2013-08-09 |
| 1326359860 | Lori Ellen Clark | Psychologist | 1095 S Main St, Cheshire, CT 06410-3432 | 2010-06-30 |
| Street Address |
216 MAIN STREET |
| City | LAKE VILLAGE |
| State | AR |
| Zip Code | 71653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578984274 | Heather Lorene Madden | Occupational Therapy Assistant | 216 Main Street, Lake Village, AR 71653 | 2013-12-23 |
| 1619268679 | Rebecca Walthall Riles | Contractor | 216 Main Street, Lake Village, AR 71653 | 2011-04-26 |
| 1891930475 | Jessica Ann Walthall | Specialist | 216 Main Street, Lake Village, AR 71653 | 2008-12-10 |
| 1386821908 | Sara Michelle Barley | Specialist | 216 Main Street, Lake Village, AR 71653 | 2008-01-25 |
| 1477613008 | Carrie Hunter Pieroni | Specialist | 216 Main Street, Lake Village, AR 71653 | 2006-12-12 |
| 1942314893 | Occupational Therapy Services Inc | Specialist | 216 Main Street, Lake Village, AR 71653-1916 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811500192 | Ashley Brown | Speech-Language Pathologist | 336 Us-82, Lake Village, AR 71653 | 2020-08-26 |
| 1861901985 | Chicot Memorial Medical Center | Clinic/Center | 2729 S. Hwy 65 82, Lake Village, AR 71653 | 2017-09-20 |
| 1326586173 | Mainline Health Systems, Inc | Clinic/Center | 360 A Hwy 82, Lake Village, AR 71653 | 2017-02-01 |
| 1508303124 | Mainline Health Systems, Inc | Clinic/Center | 360 A Highway 82, Lake Village, AR 71653 | 2017-01-20 |
| 1689120263 | Russell Medical Services Pllc | Family Medicine | 5071 Highway 82 E, Lake Village, AR 71653 | 2016-09-01 |
| 1528362035 | Hillman Chiropractic LLC | Chiropractor | 2819 Louis Sessions Dr., Lake Village, AR 71653 | 2010-12-28 |
| 1902113913 | Sheri K Bagwell | Counselor | 1127 Second St., Lake Village, AR 71653 | 2010-09-13 |
| 1205154044 | Arkansas Department of Health | Public Health or Welfare | 1742 Hwy 65 and 82 South, Lake Village, AR 71653 | 2010-05-04 |
| 1114259041 | William Jackson Weaver | General Practice | 1754 Lake Hall Road, Lake Village, AR 71653 | 2010-02-03 |
| 1821246992 | Maurenella Antionette Nelson | Social Worker | 1127 Second Street, Lake Village, AR 71653 | 2008-09-03 |
| Find all providers in zip 71653 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist 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 therapy assistants 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, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467093716 | Brittany Albritton Wilson | Occupational Therapy Assistant | 216 Main St, Lake Village, AR 71653-1916 | 2019-10-07 |
| 1578984274 | Heather Lorene Madden | Occupational Therapy Assistant | 216 Main Street, Lake Village, AR 71653 | 2013-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841756 | Hannah Beth Johnston | Occupational Therapy Assistant | 970 County Road 753, Jonesboro, AR 72405-0232 | 2020-11-03 |
| 1801496559 | Kynlee Madison West | Occupational Therapy Assistant | 101 N Munn St, Warren, AR 71671-2951 | 2020-10-30 |
| 1023618915 | Rachel Erin Columbus | Occupational Therapy Assistant | 8823 Barber St, Sherwood, AR 72120-2981 | 2020-10-29 |
| 1114532553 | Rachael Masters | Occupational Therapy Assistant | 115 N Fulton St, Clarksville, AR 72830-3020 | 2020-09-12 |
| 1306459888 | Katlyn Elizabeth Young | Occupational Therapy Assistant | 5532 John F Kennedy Blvd, North Little Rock, AR 72116-6708 | 2020-08-25 |
| 1588276208 | Jessica Brooke Yocum | Occupational Therapy Assistant | 3902 Sw Boulder St Apt 27, Bentonville, AR 72713-8496 | 2020-08-24 |
| 1093326068 | Bonnie Allyson Dillon | Occupational Therapy Assistant | 419 W 3rd St, Corning, AR 72422-2754 | 2020-08-13 |
| 1548870744 | Kayla Deann Pickett | Occupational Therapy Assistant | 1447 Columbia Road 29, Magnolia, AR 71753-8947 | 2020-08-03 |
| 1861001240 | Tamarah Janeice Wilson | Occupational Therapy Assistant | 619 Parkview St, Van Buren, AR 72956-2703 | 2020-07-30 |
| 1568070985 | Tarnesa Nicole Ramnarine | Occupational Therapy Assistant | 121 Little River 248, Ogden, AR 71853-9545 | 2020-07-22 |
| Find all providers with the same taxonomy | ||||
| City | LAKE VILLAGE |
| Zip Code | 71653 |
Please comment or provide details below to improve the information on MRS. LORI DAMON CLARK.
| 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.