MEGHAN CLARK (NPI# 1487190617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487190617 |
| Entity Type | Individual |
| Full Name | MEGHAN CLARK |
| Credential | ATC |
| Practice Address |
1401 Douglas Ave North Providence RI 02904-4058 |
| Mailing Address |
122 Rankin Ave Providence RI 02908-4216 |
| Practice Telephone | 4014354540 |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2018-11-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT00439 | RI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 76 Chestnut St, Wilmington, MA 018873912 | 9786048787 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720612377 | Meghan Clark | Occupational Therapist | 2956 152nd Ave Ne Apt 360, Redmond, WA 98052-5362 | 2020-02-22 |
| 1558873273 | Meghan Rebecca Clark | Speech-Language Pathologist | 319 Ferry St, Brookport, IL 62910-2891 | 2017-11-03 |
| 1477855633 | Meghan Ann Clark | Nurse Practitioner | 698 Mullica Hill Rd, Ste 300, Mullica Hill, NJ 08062 | 2010-11-21 |
| 1427684968 | Meghan Aubrey Clark | Nurse Practitioner | 1400 Pottery Ave, Port Orchard, WA 98366-3711 | 2020-03-17 |
| 1578069878 | Meghan Ruth Clark | Student in an Organized Health Care Education/Training Program | 1215 Lee St, Charlottesville, VA 22908-0816 | 2018-04-04 |
| 1598131864 | Meghan E Clark | Physical Therapist | 820 Sir Thomas Ct, Harrisburg, PA 17109-4839 | 2015-08-20 |
| 1396011953 | Meghan Clark | Social Worker | 2501 W 22nd St, Sioux Falls, SD 57105-1305 | 2012-03-28 |
| 1043418197 | Meghan Mccabe Clark | Dentist | 1 Kneeland St, Boston, MA 02111-1527 | 2007-07-10 |
| Street Address |
1401 DOUGLAS AVE |
| City | NORTH PROVIDENCE |
| State | RI |
| Zip Code | 02904-4058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780815530 | Rachel Beth Deblois | Physical Therapist | 1401 Douglas Ave, North Providence, RI 02904-4058 | 2009-07-28 |
| 1255946901 | Max Fokin | Physical Therapist | 1401 Douglas Ave, North Providence, RI 02904-4058 | 2020-09-10 |
| 1558854133 | Amanda Chirlin | Physical Therapist | 1401 Douglas Ave, North Providence, RI 02904 | 2018-06-08 |
| 1831647643 | Silver Fern Practice, LLC | Physical Therapist | 1401 Douglas Ave, North Providence, RI 02904-4058 | 2016-09-21 |
| 1871047621 | David Ornstein | Physical Therapist | 1401 Douglas Ave, North Providence, RI 02904 | 2016-08-10 |
| 1922455583 | Jarred Smith | Physical Therapist | 1401 Douglas Ave, North Providence, RI 02904-4058 | 2016-05-24 |
| 1780011056 | Bethany Carnevale | Physical Therapist | 1401 Douglas Ave, North Providence, RI 02904-4058 | 2013-10-02 |
| 1801228861 | Nadja C Goulart | Physical Therapist | 1401 Douglas Ave, North Providence, RI 02904-4058 | 2013-08-01 |
| 1518243120 | Melissa Robidoux | Physical Therapist | 1401 Douglas Ave, North Providence, RI 02904-4058 | 2011-10-26 |
| 1033497052 | Jennifer Teresa Scuncio | Physical Therapist | 1401 Douglas Ave, North Providence, RI 02904 | 2011-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144792383 | Lifespan Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 180 Corliss Street, Suite A, Providence, RI 02904 | 2018-12-28 |
| 1780168229 | Beth M. Kalunian | Social Worker | 480 Charles Street, Providence, RI 02904 | 2018-09-20 |
| 1588161608 | Michael P. Johnson, Md, Inc | Internal Medicine | 148 W River St Ste 22b, Providence, RI 02904 | 2018-04-06 |
| 1780045948 | Fred Saccoccio | Pharmacist | 15 Smithfield Road, No Providence, RI 02904 | 2016-03-16 |
| 1699148999 | Latin Adult Day Health Care Center | Clinic/Center | 665 Charles Street, Providence, RI 02904 | 2015-11-09 |
| 1144639956 | Dina P Toolin | Occupational Therapist | 195 Collyer St. 3rd Floor, University Medical Center/miriam Hospital Outpatient, Providence, RI 02904 | 2014-08-06 |
| 1801208798 | Seth Clark | Internal Medicine | 200 Corliss St, Providence, RI 02904 | 2014-05-27 |
| 1134554645 | Molly Elizabeth Smith | Physical Therapist | 1405 Douglas Ave, North Providence, RI 02904 | 2013-09-04 |
| 1336408723 | Emad Awa | Pediatrics | 1 Randall Sq Ste 404, Providence, RI 02904 | 2012-05-07 |
| 1598036790 | Joseph F. Osmanski, Od, Inc | Optometrist | 1971 Mineral Spring Avenue, N. Providence, RI 02904 | 2012-01-19 |
| Find all providers in zip 02904 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013368570 | Morgan Richard Pierce | Specialist/Technologist | 17 Allendale Ave, North Providence, RI 02911-3103 | 2016-06-27 |
| 1932235892 | Michael Robert Poirier | Specialist/Technologist | 60 Capitol View Ave, North Providence, RI 02908-1007 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013545813 | William Digiuseppe | Specialist/Technologist | 41 Longfellow Dr, North Kingstown, RI 02852-1015 | 2020-03-29 |
| 1467085241 | Jake Lima | Specialist/Technologist | 279 Main Ave, Warwick, RI 02886-3458 | 2020-02-19 |
| 1477184810 | Carlin Testa | Specialist/Technologist | 33 Massachusetts St, Cranston, RI 02920-5110 | 2020-02-03 |
| 1629616321 | Kaylee Ella Contreras | Specialist/Technologist | 123 Spring St Apt 2, Pawtucket, RI 02860-3020 | 2019-12-13 |
| 1639715071 | Erika Winter | Specialist/Technologist | 199 Chestnut St, Bristol, RI 02809-3998 | 2019-11-20 |
| 1437795879 | Joseph Leo Maynard IIi | Specialist/Technologist | 70 Turner St Unit 6c, Warwick, RI 02886-3630 | 2019-11-20 |
| 1609425750 | Kathleen Kenney | Specialist/Technologist | 23 Whitwell Ave, Newport, RI 02840-2221 | 2019-09-10 |
| 1922657410 | Sheila A Olson | Specialist/Technologist | 6828 Post Rd Unit 2e, North Kingstown, RI 02852-2100 | 2019-09-06 |
| 1568017135 | Stephen Creamer | Specialist/Technologist | 9 Taylor Dr, Rumford, RI 02916-1017 | 2019-08-09 |
| 1801459714 | Josselyn Marie Delemos | Specialist/Technologist | 24 Shaws Ln, Bristol, RI 02809-3312 | 2019-04-16 |
| Find all providers with the same taxonomy | ||||
| City | NORTH PROVIDENCE |
| Zip Code | 02904 |
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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.