JESSICA CLARK (NPI# 1700392412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700392412 |
| Entity Type | Individual |
| Full Name | JESSICA CLARK |
| Practice Address |
625 Piney Forest Rd Ste 407 Danville VA 24540-2870 |
| Mailing Address |
541 Bridge St Apt 310 Danville VA 24541-1453 |
| Practice Telephone | 4347997732 |
| Mailing Telephone | 8143195070 |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2017-12-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 0131001822 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528690906 | Jessica Clark | Doula | 343 N Main Ave, Gresham, OR 97030-7246 | 2020-02-04 |
| 1962054387 | Jessica Lynn Clark | Nurse Practitioner | 7219 N Litchfield Rd Bldg 11302nd, Luke Air Force Base, AZ 85309-1529 | 2019-07-16 |
| 1568962306 | Jessica Lee Clark | Registered Nurse | 6011 Cielo Rnch, San Antonio, TX 78218-4161 | 2018-02-19 |
| 1811416076 | Jessica Clark | Counselor | 42189 Shadow Creek Ave, Gonzales, LA 70737-7241 | 2017-09-19 |
| 1124572821 | Jessica Clark | Specialist | 5664 Cahuenga Blvd, North Hollywood, CA 91601-2103 | 2016-08-10 |
| 1104286871 | Jessica Clark | Counselor | 2575 Westgate Bldg 2, Pendleton, OR 97801-9613 | 2016-02-24 |
| 1942612296 | Jessica Clark | Case Management | 620 John Austin Ln, Mt Washington, KY 40047-6354 | 2014-05-21 |
| 1154610269 | Jessica Clark | Social Worker | 55 Floyd Ave, Riverside, RI 02915-2927 | 2011-03-30 |
| 1346558780 | Jessica Clark | Dietitian, Registered | 187-191 Main Street, Ste 300, Emmaus, PA 18049-4017 | 2010-09-20 |
| 1760794309 | Jessica Michelle Clark | Dentist | 1300 Kempsville Rd Ste 5, Virginia Beach, VA 23464-6199 | 2010-07-12 |
| Street Address |
625 PINEY FOREST RD STE 407 |
| City | DANVILLE |
| State | VA |
| Zip Code | 24540-2870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730150186 | Amie Teague Boone | Speech-Language Pathologist | 625 Piney Forest Rd Ste 407, Danville, VA 24540 | 2006-02-01 |
| 1629618947 | Jacquline Marie Ely | Speech-Language Pathologist | 625 Piney Forest Rd Ste 407, Danville, VA 24540-2870 | 2020-01-14 |
| 1174177729 | Alison Visconti | Speech-Language Pathologist | 625 Piney Forest Rd Ste 407, Danville, VA 24540-2870 | 2019-07-31 |
| 1750844650 | Lisa Rae Potter | Occupational Therapist | 625 Piney Forest Rd Ste 407, Danville, VA 24540-2870 | 2019-04-09 |
| 1942765987 | Coretta Easley Williams | Occupational Therapy Assistant | 625 Piney Forest Rd Ste 407, Danville, VA 24540-2870 | 2019-02-04 |
| 1467932418 | Amber Moran | Occupational Therapy Assistant | 625 Piney Forest Rd Ste 407, Danville, VA 24540-2870 | 2018-08-20 |
| 1437665023 | Leigh Ann Brown | Occupational Therapy Assistant | 625 Piney Forest Rd Ste 407, Danville, VA 24540-2870 | 2017-12-19 |
| 1154837961 | Heather Funk | Occupational Therapy Assistant | 625 Piney Forest Rd Ste 407, Danville, VA 24540-2870 | 2017-12-18 |
| 1982118733 | Shannon C Smith | Speech-Language Pathologist | 625 Piney Forest Rd Ste 407, Danville, VA 24540-2870 | 2017-11-30 |
| 1558874008 | Megan Roach | Speech-Language Pathologist | 625 Piney Forest Rd Ste 407, Danville, VA 24540-2870 | 2017-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174981 | Sherry K Hardison | Pharmacist | Walmart, 515 Mount Cross Road, Danville, VA 24540 | 2020-11-03 |
| 1285256412 | Terri Patrice Alston | In Home Supportive Care | 220 Riverside Drive Suite C, Danville, VA 24540 | 2020-05-11 |
| 1619514312 | Glory Days Support Service, LLC | Counselor | 625 Piney Forest Rd, Suite 302c, Same, Danville, VA 24540 | 2019-12-02 |
| 1376189613 | Camilla Petty | Counselor | 265 Piney Forest Road Suite 302 C, Danville, VA 24540 | 2019-11-21 |
| 1891201513 | Jeffrey Langan | Occupational Therapy Assistant | 625 Piney Forest Rd., Danville, VA 24540 | 2017-12-18 |
| 1952822041 | H and G Transportation, LLC | Non-emergency Medical Transport (VAN) | 661 Arnett Blvd., Suite A, Danville, VA 24540 | 2017-06-29 |
| 1518316769 | Precious Nursing LLC | Home Health | 924 Arnett Bvld., Danville, VA 24540 | 2016-06-08 |
| 1487090841 | Hope Family Services LLC | Social Worker | 620 Piney Forest Road Suite, 304-a, Danville, VA 24540 | 2013-05-13 |
| 1336494764 | Jodi Leigh Davis | Speech-Language Pathologist | Center for Pediatric Therapies, 175 Deer Run Road, Danville, VA 24540 | 2012-07-23 |
| 1154618445 | Said Elfayar | Clinical Medical Laboratory | 140 West Parker Rd, Suite A, Danville, VA 24540 | 2011-07-07 |
| Find all providers in zip 24540 | ||||
| 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 |
|---|---|---|---|---|
| 1467916635 | Alexandra Grace Cathey | Occupational Therapy Assistant | 810 Dan Ark Circle, Danville, AR 72833 | 2019-01-22 |
| 1104303551 | Damon Lee Simpson | Occupational Therapy Assistant | 1616 Maple Dr, Danville, VA 24541 | 2018-07-27 |
| 1891201513 | Jeffrey Langan | Occupational Therapy Assistant | 625 Piney Forest Rd., Danville, VA 24540 | 2017-12-18 |
| 1992117550 | Nicole Totten | Occupational Therapy Assistant | 147 Dyerwood Pl, Danville, VA 24541-3310 | 2014-05-29 |
| 1386995629 | Emily Skinner | Occupational Therapy Assistant | 314 Squirrel Ridge Way, Danville, CA 94506-4744 | 2012-09-26 |
| 1144450602 | Dianne Darcelle Gill | Occupational Therapy Assistant | 2298 W County Road 200 N, Danville, IN 46122-8977 | 2009-07-19 |
| 1861014821 | Valerie Lynn Miles | Occupational Therapy Assistant | 203 Bruce Ct, Danville, KY 40422-1948 | 2020-05-13 |
| 1164056412 | Anna Moses Bomar | Occupational Therapy Assistant | 2526 N Main St, Danville, VA 24540-2333 | 2020-02-25 |
| 1033743695 | William E Gunnell Jr. | Occupational Therapy Assistant | 2526 N Main St, Danville, VA 24540-2333 | 2020-02-23 |
| 1932756236 | Brittany Alaya Leman-muhammad | Occupational Therapy Assistant | 3222 Independence Dr, Danville, IL 61832-7919 | 2019-08-21 |
| Find all providers in DANVILLE | ||||
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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.