JASON CLARK


Address: 140 Technology Ln, Johnson City, TN 37604-2004
Phone: 4239790798

JASON CLARK (NPI# 1508150301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508150301
Entity Type Individual
Full Name JASON CLARK
Credential OTR/L
Practice Address 140 Technology Ln
Johnson City
TN 37604-2004
Mailing Address 420 Wyndham Dr
Gray
TN 37615-5229
Practice Telephone 4239790798
Mailing Telephone 3523596252
Enumeration Date 2011-06-09
Last Update Date 2011-06-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225X00000X Occupational Therapist 4141 TN Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers JASON CLARK

NPI Name Taxonomy Address Enumeration
1033727425 Jason Clark Counselor 2451 N Lincoln Ave Side 2, Chicago, IL 60614-4170 2020-07-21
1548695489 Jason S. Clark Veterinarian 11800 Capital Way, Louisville, KY 40299-6332 2013-09-11
1346201431 Jason Drew Clark Dentist 7810 Providence Rd, Suite 100, Charlotte, NC 28226-2987 2006-03-29
1306197348 Jason Clark Nurse Anesthetist, Certified Registered 620 Skyline Drive, Jackson, TN 38301 2012-10-01
1568711513 Jason E Clark Case Management 4615 Philips Highway, Jacksonville, FL 32207-7265 2012-09-06
1699024695 Jason M Clark Optometrist 101 Conley Rd, Columbia, MO 65201-6465 2012-09-05
1457632705 Jason Clark Physical Therapy Assistant 1001 Giesau Dr, Ontonagon, MI 49953-1454 2011-08-31
1184912883 Jason Clark Pharmacist 3021 Reidville Rd, Spartanburg, SC 29301-5643 2011-07-14
1902101959 Jason Andrew Clark Nurse Anesthetist, Certified Registered 1970 Roanoke Blvd, Salem, VA 24153-6404 2011-01-24
1134448525 Jason D Clark Orthopaedic Surgery 480 E Jefferson St, Suite B, Butler, PA 16001-4780 2010-05-25

Office Location

Street Address 140 TECHNOLOGY LN
City JOHNSON CITY
State TN
Zip Code 37604-2004

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548573017 Paulito Solon Physical Therapist 140 Technology Ln, Johnson City, TN 37604-2004 2010-07-26
1346841160 Heather Harvey Mccann Occupational Therapist 140 Technology Ln, Johnson City, TN 37604-2004 2020-11-06
1982202974 Benjamin Hendrickson Occupational Therapy Assistant 140 Technology Ln, Johnson City, TN 37604-2004 2020-10-13
1699306027 Andrew Martin Physical Therapist 140 Technology Ln, Johnson City, TN 37604-2004 2020-02-04
1811557804 Emily Bradley Speech-Language Pathologist 140 Technology Ln, Johnson City, TN 37604-2004 2019-06-20
1841743291 The Waters of Johnson City LLC Skilled Nursing Facility 140 Technology Ln, Johnson City, TN 37604-2004 2016-08-02
1649604489 East Tennessee Skilled Care Registered Nurse 140 Technology Ln, Johnson City, TN 37604-2004 2013-08-28
1245500768 Jessica Lewis Occupational Therapy Assistant 140 Technology Ln, Johnson City, TN 37604-2004 2012-01-02
1598079964 Billy Johnson Physical Therapy Assistant 140 Technology Ln, Johnson City, TN 37604-2004 2010-07-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417560707 Brant Logan Nickens Physical Therapist 809 Lamont St and Veterans Way, Johnson City, TN 37604 2020-08-26
1952911562 David Sandlin Hobbs Pharmacist Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 2020-08-07
1528688272 Whitney Marie Ward Physical Therapist Lamont Street and Veterans Way, Johnson City, TN 37604 2020-04-23
1861050015 Akesh Thomas Student in an Organized Health Care Education/Training Program Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 2019-06-03
1336629021 Medical Education Assistance Corporation Clinic/Center 820 W Market St, Johnson City, TN 37604 2018-08-21
1093208951 Lauren Tiffany Hayden Physician Assistant 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 2018-06-14
1174014450 Jerica Moore Specialist/Technologist 1041 Hamiltion Place Dr., Johnson City, TN 37604 2018-05-23
1053809442 Syed Ghazanfar Hasan Student in an Organized Health Care Education/Training Program Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 2018-05-01
1699262485 Sonia Kumari Oad Student in an Organized Health Care Education/Training Program 178 West Maple St, Johnson City, TN 37604 2018-04-17
1821519364 Mahmoud El Iskandarani Internal Medicine 1084 W Oakland Avenue, 748, Johnson City, TN 37604 2017-07-06
Find all providers in zip 37604

Taxonomy Information

Taxonomy Code 225X00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104434257 Elizabeth Dharmapal Occupational Therapist 1601 Chickees St, Johnson City, TN 37604-7104 2020-07-15
1578107645 Thomas William Sorber Occupational Therapist 33 Harrison St, Johnson City, Johnson City, NY 13790 2019-11-01
1275004178 Independent Physical Therapy Occupational Therapist 612 Lyle St Ste 118, Johnson City, TN 37604-8001 2018-12-17
1295200111 Eric Dyer Occupational Therapist 2412 Knob Creek Rd, Johnson City, TN 37604-2586 2018-10-07
1215417118 Diana Slavyana Ponizhaylo Occupational Therapist 18 Pearl Ave, Johnson City, NY 13790-1514 2018-08-20
1003268798 Rafael Leon Occupational Therapist 1401 John Exum Pkwy Apt 2, Johnson City, TN 37604-3861 2016-07-06
1922452127 Whitney Benton Occupational Therapist 2214 E Fairview Ave, Johnson City, TN 37601-2860 2016-04-14
1932560976 Kaydee Louise Davidson Occupational Therapist 3209 Bristol Highway, Johnson City, TN 37601 2016-03-18
1235599580 Savannah Taylor Occupational Therapist 401 E Main St Ste 4, Johnson City, TN 37601-4891 2016-02-29
1508252511 Lauren Hood Occupational Therapist 1084 W Oakland Ave, Apt 503, Johnson City, TN 37604-2551 2015-04-07
Find all providers in JOHNSON CITY

Competitor

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City JOHNSON CITY
Zip Code 37604

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Dataset Information

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.

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