KATELYN MARIE CLARK (NPI# 1124517222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124517222 |
| Entity Type | Individual |
| Full Name | KATELYN MARIE CLARK |
| Practice Address |
3254 E Midland Rd Bay City MI 48706-2835 |
| Practice Telephone | 9896863770 |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2018-05-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 5201009035 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 515 N Michigan Ave, Saginaw, MI 486024316 | 9895832701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093049 | Katelyn E Clark | Counselor | 7431 Fortman Ave, Fountain, CO 80817-1403 | 2020-11-04 |
| 1831726520 | Katelyn Rose Clark | Hearing Instrument Specialist | 605 E Main St Unit 19, Bay Shore, NY 11706-8505 | 2020-03-24 |
| 1871148569 | Katelyn Truss Clark | Behavior Technician | 19615 Liverpool Pkwy Ste B, Cornelius, NC 28031-4075 | 2019-08-08 |
| 1972165496 | Katelyn Marie Clark | Physician Assistant | 10455 Lincoln Hwy, Everett, PA 15537-7046 | 2019-07-04 |
| 1366732729 | Katelyn Ann Clark | Surgery | 3355 Riverbend Dr Ste 300, Springfield, OR 97477-8800 | 2011-04-19 |
| Street Address |
3254 E MIDLAND RD |
| City | BAY CITY |
| State | MI |
| Zip Code | 48706-2835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891845210 | Bay Shores Nursing Center, LLC | Durable Medical Equipment & Medical Supplies | 3254 E Midland Rd, Bay City, MI 48706-2835 | 2007-01-10 |
| 1518525757 | Tiarra Sedlar | Occupational Therapist | 3254 E Midland Rd, Bay City, MI 48706-2835 | 2019-06-03 |
| 1033608138 | Anne Kay Rysse | Occupational Therapist | 3254 E Midland Rd, Bay City, MI 48706-2835 | 2018-05-03 |
| 1942799044 | Eva Moormann | Physical Therapist | 3254 E Midland Rd, Bay City, MI 48706-2835 | 2018-05-03 |
| 1710475744 | Valerie Palmatier | Occupational Therapist | 3254 E Midland Rd, Bay City, MI 48706-2835 | 2018-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619574357 | Kalie Keyes | Behavior Technician | 3710 Katalin Ct, Bay City, MI 48706 | 2020-10-06 |
| 1790251049 | Leann Marie Miller | Nurse Practitioner | Visiting Physicians Association, 1484 Straits Drive, Bay City, MI 48706 | 2018-10-15 |
| 1659883676 | Matthew Zamora | Internal Medicine | 4818 S Professional Dr, Bay City, MI 48706 | 2017-10-31 |
| 1376082230 | Deidre Dotson | Social Worker | 1217 S Euclid, Bay City, MI 48706 | 2017-02-13 |
| 1790100717 | Kochar Plc | Internal Medicine | 4817 E. Professional Drive, Bay City, MI 48706 | 2014-02-27 |
| 1992136477 | Janelle Gale Ballard | Music Therapist | 4106 Wilder Rd, Bay City, MI 48706 | 2013-12-09 |
| 1619319084 | Jessica T Jang | Veterinarian | 6015 West Side Saginaw Rd, Bay City, MI 48706 | 2013-07-25 |
| 1427493634 | Cynthia Marie Bordeau | Social Worker | 1217 S. Euclid, Bay City, MI 48706 | 2013-05-01 |
| 1902162746 | Delta Family Clinic South PC | Psychologist | 901 N. Euclid Ave., Bay City, MI 48706 | 2012-04-05 |
| 1669762985 | James Norbert Stachowski | Pharmacist | 3880 Wilder, Bay City, MI 48706 | 2011-04-08 |
| Find all providers in zip 48706 | ||||
| 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 |
|---|---|---|---|---|
| 1285145128 | Heather Ann Pestrue | Occupational Therapist | 163 S Green Rd, Bay City, MI 48708-9216 | 2017-10-18 |
| 1700326071 | Allissa Smith | Occupational Therapist | 3850 4 Mile Rd, Bay City, MI 48706-9446 | 2017-03-06 |
| 1972049898 | Denae Asel-templin | Occupational Therapist | 9 E Main St Unit 208, Bay City, MI 48708-6553 | 2017-01-17 |
| 1811439581 | Stephanie Anne Wise | Occupational Therapist | 3727 Wilder Rd, Bay City, MI 48706-2367 | 2016-11-13 |
| 1407301948 | Daniel O'shea | Occupational Therapist | 1001 S Monroe St, Bay City, MI 48708-7214 | 2016-08-24 |
| 1922471309 | Elizabeth Wise | Occupational Therapist | 4844 Dorey Dr, Bay City, MI 48706-2618 | 2015-11-05 |
| 1518340512 | Laura Carpenter | Occupational Therapist | 812 Sidney St, Bay City, MI 48706-3873 | 2015-07-08 |
| 1306244736 | Scott Staszak II | Occupational Therapist | 3727 Wilder Rd Ste A&b, Bay City, MI 48706-2367 | 2014-12-17 |
| 1144620204 | Laura Bates | Occupational Therapist | 811 Saginaw St, Bay City, MI 48708-5612 | 2014-08-26 |
| 1821385212 | Kevin Smith | Occupational Therapist | 3707 Katalin Court, Bay City, MI 48706-2161 | 2011-07-06 |
| Find all providers in BAY CITY | ||||
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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.