AMANDA CLARK (NPI# 1306343678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306343678 |
| Entity Type | Individual |
| Full Name | AMANDA CLARK |
| Credential | COTA/L |
| Practice Address |
64 Park St Dexter ME 04930-1470 |
| Practice Telephone | 2079245516 |
| Practice Fax Number | 2079248817 |
| Mailing Telephone | 2079245516 |
| Mailing Fax Number | 2079248817 |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2018-04-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | OA2329 | ME | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851680 | Amanda Lou Clark | Technician | 4631 Diana Dr, Diana, WV 26217-8777 | 2020-08-11 |
| 1225666035 | Amanda Louise Clark | Registered Nurse | 10 Mcclennan Banks Dr, Charleston, SC 29425-0001 | 2020-03-28 |
| 1881220226 | Amanda S Clark | Nurse Practitioner | 1115 State St # 4342, Cayce, SC 29033-4342 | 2020-03-17 |
| 1255808085 | Amanda M Clark | Specialist/Technologist | 2301 Timberline Ct Apt F105, Ruston, LA 71270 | 2018-10-30 |
| 1467956003 | Amanda K Clark | Respiratory Therapist, Certified | 1225 Laurel St Ste 219, Columbia, SC 29201-5826 | 2018-03-20 |
| 1992257281 | Amanda Clark | Occupational Therapy Assistant | 7146 Bahne Rd, Fairview, TN 37062 | 2016-11-02 |
| 1578938163 | Amanda Leigh Clark | Occupational Therapy Assistant | 218 Mill Hill Acres Dr, Peterstown, WV 24963-9797 | 2015-12-08 |
| 1043554256 | Amanda J Clark | Physical Therapist | 1312 W Arch Haven Ave Bldg 1320, Suite E, Bloomington, IN 47403-2089 | 2012-11-15 |
| 1770810954 | Amanda J Clark | Specialist/Technologist | 8700 Sheridan Road, Nw, Thornville, OH 43076 | 2009-11-10 |
| 1891967204 | Amanda Bleu Clark | Counselor | 150 Nickerson St Ste 303, Seattle, WA 98109 | 2008-03-25 |
| Street Address |
64 PARK ST |
| City | DEXTER |
| State | ME |
| Zip Code | 04930-1470 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487640520 | Dexter Manor Associates | Speech-Language Pathologist | 64 Park St, Dexter, ME 04930-1470 | 2005-09-23 |
| 1619578903 | Elsie Rose Shaw | Occupational Therapy Assistant | 64 Park St, Dexter, ME 04930-1470 | 2020-11-04 |
| 1093366296 | Danielle George | Occupational Therapist | 64 Park St, Dexter, ME 04930-1470 | 2019-09-28 |
| 1912492182 | Hailey Rae Smith | Occupational Therapist | 64 Park St, Dexter, ME 04930-1470 | 2018-06-28 |
| 1649767674 | Jamy L Parkhurst | Speech-Language Pathologist | 64 Park St, Dexter, ME 04930-1470 | 2018-04-16 |
| 1356848568 | Alecia Lee Palmer | Occupational Therapist | 64 Park St, Dexter, ME 04930-1470 | 2018-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740493303 | Maine School Administrative District No. 46 | Local Education Agency (LEA) | 7 Main Street, Dexter, ME 04930 | 2007-05-08 |
| 1942413539 | Maine School Administrative District No. 46 | Case Management | 7 Main Street, Dexter, ME 04930 | 2007-05-08 |
| 1346383239 | Karen Clark Staffeld | Social Worker | 14 Maple Street, Dexter, ME 04930 | 2007-02-14 |
| 1457750044 | Sonja Hall | Physical Therapist | 335 Corrina Road, Dexter, ME 04930-0212 | 2014-08-19 |
| 1205070919 | Dexter Boarding Home | Custodial Care Facility | 45 Main St, Dexter, ME 04930-1267 | 2009-04-24 |
| 1811931249 | Robert J. Lodato | Internal Medicine | 41 High St, Dexter, ME 04930-1311 | 2006-06-15 |
| 1417269242 | Lori Michelle Towne | Nurse Practitioner | 41 High St, Dexter, ME 04930-1311 | 2010-07-09 |
| 1417079039 | Mrh Corp. | Family Medicine | 51 High St, Dexter, ME 04930-1311 | 2007-04-04 |
| 1174645931 | Mrh Corp. | Internal Medicine | 41 High St, Dexter, ME 04930-1311 | 2007-04-04 |
| 1366487258 | Lisa A. Starkweather | Nurse Practitioner | 51 High St, Dexter, ME 04930-1311 | 2006-06-17 |
| Find all providers in zip 04930 | ||||
| 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 |
|---|---|---|---|---|
| 1104086404 | Orlando Roberto Chavez | Occupational Therapy Assistant | 403 W 3rd Street, Dexter, NM 88230-0008 | 2008-06-11 |
| 1619578903 | Elsie Rose Shaw | Occupational Therapy Assistant | 64 Park St, Dexter, ME 04930-1470 | 2020-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760035968 | Jennifer Susan Crenshaw | Occupational Therapy Assistant | 48 Location Rd, Belgrade, ME 04917-4026 | 2019-07-17 |
| 1568924322 | Sarah Lee Lynds | Occupational Therapy Assistant | 20 Harford St, Houlton, ME 04730 | 2019-04-02 |
| 1285105494 | Elivia Spinella | Occupational Therapy Assistant | 180 Danforth St Apt 1, Portland, ME 04102-3837 | 2018-12-16 |
| 1346756822 | Kelley Sue Smith | Occupational Therapy Assistant | 24 Highland Ave, Newport, ME 04953-3229 | 2017-12-20 |
| 1639602485 | Taylor Lewis | Occupational Therapy Assistant | 12 Jacqueline Way Apt 240, Westbrook, ME 04092-4149 | 2017-04-08 |
| 1326579798 | Pamela Jean Yankowsky | Occupational Therapy Assistant | 821 E Pittston Rd, Pittston, ME 04345-5930 | 2017-03-27 |
| 1154866622 | Leanne Harrington | Occupational Therapy Assistant | 866 Kenduskeag Ave Apt 1, Bangor, ME 04401-2910 | 2016-12-19 |
| 1396289740 | Kathleen Foster | Occupational Therapy Assistant | 44 Deering Ave, Apt. 2, Portland, ME 04101-2292 | 2016-12-05 |
| 1770038234 | Devin Alvah Brann | Occupational Therapy Assistant | 28 Gilman Plz, Bangor, ME 04401-3561 | 2016-08-24 |
| 1871945774 | William Richard Chasteen Jr. | Occupational Therapy Assistant | 984 Sabattus St, Lewiston, ME 04240-3363 | 2016-07-05 |
| Find all providers with the same taxonomy | ||||
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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.