JASON CLARK (NPI# 1508150301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 4141 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
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 |
Street Address |
140 TECHNOLOGY LN |
City | JOHNSON CITY |
State | TN |
Zip Code | 37604-2004 |
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 |
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 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 |
---|---|---|---|---|
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 |
City | JOHNSON CITY |
Zip Code | 37604 |
Please comment or provide details below to improve the information on JASON CLARK.
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.