MRS. MARION SHARON CLARK (NPI# 1275681124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275681124 |
| Entity Type | Individual |
| Full Name | MRS. MARION SHARON CLARK |
| Credential | COTAL |
| Practice Address |
1025 N Country Club Dr Mesa AZ 85201-3307 |
| Mailing Address |
602 E Stonebridge Dr Gilbert AZ 85234-6435 |
| Practice Telephone | 4804726162 |
| Mailing Telephone | 4808203970 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 0086 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 580242 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538578760 | Marion Clark II | Pharmacist | 425 Cox Rd, Gastonia, NC 28054-0610 | 2014-08-13 |
| 1437226958 | Marion Clark | Registered Nurse | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2006-11-29 |
| Street Address |
1025 N COUNTRY CLUB DR |
| City | MESA |
| State | AZ |
| Zip Code | 85201-3307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144200288 | Debra Gonzales | Registered Nurse | 1025 N Country Club Dr, Mesa, AZ 85201-3307 | 2006-01-17 |
| 1629678693 | Autrey Taylor Veitel | Specialist/Technologist | 1025 N Country Club Dr, Mesa, AZ 85201-3307 | 2020-10-29 |
| 1790390375 | Rebecca Ann Galaviz | Registered Nurse | 1025 N Country Club Dr, Mesa, AZ 85201-3302 | 2020-09-10 |
| 1811506652 | Erika Mcsweeney | Occupational Therapist | 1025 N Country Club Dr, Mesa, AZ 85201-3307 | 2020-07-28 |
| 1780293415 | Samantha Gubka | Occupational Therapist | 1025 N Country Club Dr, Mesa, AZ 85201-3302 | 2020-07-28 |
| 1003425851 | Kaye Sjoholm | Physical Therapist | 1025 N Country Club Dr, Mesa, AZ 85201-3307 | 2020-07-28 |
| 1740899574 | Brooke Danielle Ermisch | Speech-Language Pathologist | 1025 N Country Club Dr, Mesa, AZ 85201-3302 | 2020-07-28 |
| 1023626371 | Taylor Dunnahoo | Speech-Language Pathologist | 1025 N Country Club Dr, Mesa, AZ 85201-3307 | 2020-07-22 |
| 1093349524 | Jana Campos | Occupational Therapist | 1025 N Country Club Dr, Mesa, AZ 85201-3307 | 2020-02-24 |
| 1730719287 | Nicole Frey | Registered Nurse | 1025 N Country Club Dr, Mesa, AZ 85201-3307 | 2020-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174141980 | Arch Hospice, LLC. | Hospice Care, Community Based | 1209 N. Country Club Dr., Ste. 1, Mesa, AZ 85201 | 2020-07-08 |
| 1861025876 | Summit Bhc Mesa LLC | Clinic/Center | 846 North Center Street Suite 101, Mesa, AZ 85201 | 2020-02-18 |
| 1427600774 | Coleen Chatter | Counselor | 711 N. Evergreenrd. Apt#2088, Mesa, AZ 85201 | 2019-07-16 |
| 1013487800 | Akos Live | Family Medicine | 1902 W. Main Street, Mesa, AZ 85201 | 2018-12-05 |
| 1760990329 | Sage Counseling, Inc. | Community/Behavioral Health | 460 N. Mesa Drive, Suites 207 and 209, Mesa, AZ 85201 | 2018-01-17 |
| 1336590025 | Horizon Health and Wellness, Inc. | Assisted Living Facility | 453 West Sunset Circle, Mesa, AZ 85201 | 2016-06-24 |
| 1356711279 | Cheryl Agosto | Registered Nurse | 1025 N. Country Club Dr, Mesa, AZ 85201 | 2015-10-05 |
| 1861877961 | Richard Roble | Speech-Language Pathologist | 125 N. Country Club Dr., Mesa, AZ 85201 | 2015-07-30 |
| 1326440991 | Demetria Harris | Counselor | 455 N. Mesa Drive #11, Mesa, AZ 85201 | 2014-09-25 |
| 1588002489 | Zhen Liu | Acupuncturist | 210n. Center St, #102, Mesa, AZ 85201 | 2013-06-13 |
| Find all providers in zip 85201 | ||||
| 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 |
|---|---|---|---|---|
| 1427660091 | Rebecca Grace Montoya-wolfskill | Occupational Therapy Assistant | 1312 E Granada St, Mesa, AZ 85203-4432 | 2020-08-17 |
| 1740899616 | Shanna Jane Betzing | Occupational Therapy Assistant | 549 N Stapley Dr, Mesa, AZ 85203-7203 | 2020-07-27 |
| 1922622836 | Rachelle Jensen | Occupational Therapy Assistant | 5210 E Hampton Ave Apt 3224, Mesa, AZ 85206-3478 | 2020-06-05 |
| 1649806704 | Tara Shields | Occupational Therapy Assistant | 1425 S Lindsay Rd Unit 36, Mesa, AZ 85204-6233 | 2020-03-19 |
| 1518511567 | Jenni Merrill | Occupational Therapy Assistant | 648 N Orange, Mesa, AZ 85201-4808 | 2019-07-29 |
| 1598288763 | Rodeleine M. Salvatus Bustamante | Occupational Therapy Assistant | 1555 S Gilbert Rd, Mesa, AZ 85204-6000 | 2017-07-19 |
| 1437684768 | Angela Nord | Occupational Therapy Assistant | 1865 N Higley Rd, Apt 2062, Mesa, AZ 85205-3324 | 2017-04-24 |
| 1538619028 | Steven Adams | Occupational Therapy Assistant | 9952 E Dolphin Cir, Mesa, AZ 85208-2589 | 2016-10-07 |
| 1689121105 | Justine Muntz | Occupational Therapy Assistant | 1304 E. Harvest, Mesa, AZ 85203 | 2016-09-01 |
| 1982066841 | Brook Eddy | Occupational Therapy Assistant | 2548 N 32nd St, Mesa, AZ 85213-1803 | 2016-03-22 |
| Find all providers in MESA | ||||
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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.