JONNA CLARK (NPI# 1639572092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639572092 |
| Entity Type | Individual |
| Full Name | JONNA CLARK |
| Credential | MS, OTR/L |
| Practice Address |
18360 Caldart Ave Ne Poulsbo WA 98370-8775 |
| Mailing Address |
5150 26th Ave Ne Seattle WA 98105-3102 |
| Practice Telephone | 5185698621 |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2014-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT60488569 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740745066 | Jonna L Clark | Counselor | 19 Beckford St Apt 1, Beverly, MA 01915-3136 | 2019-01-31 |
| 1689776809 | Jonna D Clark | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2006-09-01 |
| Street Address |
18360 CALDART AVE NE |
| City | POULSBO |
| State | WA |
| Zip Code | 98370-8775 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518061241 | North Kitsap School District | Local Education Agency (LEA) | 18360 Caldart Ave Ne, Poulsbo, WA 98370-8775 | 2006-09-12 |
| 1700354966 | Sarah Beaver | Speech-Language Pathologist | 18360 Caldart Ave Ne, Poulsbo, WA 98370-8775 | 2018-11-06 |
| 1437627692 | Stephen W Kunkel | Psychologist | 18360 Caldart Ave Ne, Poulsbo, WA 98370-8775 | 2018-11-06 |
| 1700353844 | Emily Popp Santiago | Psychologist | 18360 Caldart Ave Ne, Poulsbo, WA 98370-8775 | 2018-10-26 |
| 1396080362 | Linda Ann Raquer | Speech-Language Pathologist | 18360 Caldart Ave Ne, Poulsbo, WA 98370-8775 | 2012-12-03 |
| 1396099073 | David Fouquette | Occupational Therapist | 18360 Caldart Ave Ne, Poulsbo, WA 98370-8775 | 2012-11-02 |
| 1801149927 | Heidi Garoutte Brislin | Occupational Therapist | 18360 Caldart Ave Ne, Poulsbo, WA 98370-8775 | 2012-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790324010 | Francie Corinn Edens | Massage Therapist | 225 Nw Lindvig Way Suite# 6, Poulsbo, WA 98370 | 2020-01-03 |
| 1972155679 | Marcela Serocki | Massage Therapist | 18657 Wa-305, Suite 4, Poulsbo, WA 98370 | 2019-07-12 |
| 1508425943 | Ryan Brinton | Physical Therapist | Kitsap Physical Therapy and Sports Clinics, 19319 7th Ave Ne Ste 108, Poulsbo, WA 98370 | 2019-06-10 |
| 1598220816 | Naomi Whitney Orong | Massage Therapist | 19068 Nw Jenson Way, Suite 4b, Poulsbo, WA 98370 | 2019-02-01 |
| 1043774953 | Maryanne Phillips Bellman | Physical Therapist | 442 Viewmont Ave, Poulsbo, WA 98370 | 2019-01-24 |
| 1285102293 | Andrea Sander | Registered Nurse | 19883 12th Ave Ne, Poulsbo, WA 98370 | 2018-11-07 |
| 1376038281 | Sharon Renay Christor | Nurse Practitioner | 19160 Front St. Ne, Poulsbo, WA 98370 | 2018-06-25 |
| 1700304334 | Samantha Przybylek Gavinski | Nurse Practitioner | 19500 10th Ave Ne Suite 100, Poulsbo, WA 98370 | 2017-09-04 |
| 1285164327 | Johanna Taylor | Behavior Technician | 21786 Windmill Loop Nw, Poulsbo, WA 98370 | 2017-06-12 |
| 1568990554 | Eva Geurtsen | Physical Therapy Assistant | 19160 Front St, Poulsbo, WA 98370 | 2017-06-02 |
| Find all providers in zip 98370 | ||||
| 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 |
|---|---|---|---|---|
| 1144711961 | Brandon Escobar | Occupational Therapist | 20730 Bond Rd Ne Ste 150, Poulsbo, WA 98370-9000 | 2018-05-29 |
| 1700219771 | Alaina Marie Gordon | Occupational Therapist | 1962 Nw Kimball Rd, Poulsbo, WA 98370-9572 | 2013-08-14 |
| 1740534072 | Kristi R Wheeler | Occupational Therapist | 1706 Ne Jacobson Rd, Poulsbo, WA 98370-8776 | 2012-11-08 |
| 1003168014 | Catherine Mary Whiting | Occupational Therapist | 18531 Noll Rd Ne, Poulsbo, WA 98370-7521 | 2012-10-15 |
| 1548465438 | Marie Maldonado Robert | Occupational Therapist | 19160 Front Street, Poulsbo, WA 98370-0127 | 2007-06-19 |
| 1528034840 | Megan Marie Milyard | Occupational Therapist | 19351 8th Ave Ne, Suite 200, Poulsbo, WA 98370-8710 | 2006-02-27 |
| 1538780002 | Cailyn Crossland | Occupational Therapist | 19319 7th Ave Ne Ste 108, Poulsbo, WA 98370-7442 | 2020-05-06 |
| 1063905487 | Selena Bach | Occupational Therapist | 19319 7th Ave Ne Ste 108, Poulsbo, WA 98370-7442 | 2018-06-11 |
| 1396099073 | David Fouquette | Occupational Therapist | 18360 Caldart Ave Ne, Poulsbo, WA 98370-8775 | 2012-11-02 |
| 1801149927 | Heidi Garoutte Brislin | Occupational Therapist | 18360 Caldart Ave Ne, Poulsbo, WA 98370-8775 | 2012-10-26 |
| Find all providers in POULSBO | ||||
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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.