ALYSSA MARIE CLARK (NPI# 1750931648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750931648 |
| Entity Type | Individual |
| Full Name | ALYSSA MARIE CLARK |
| Credential | OTR/L |
| Practice Address |
4605 W Crystal Lake Rd Mchenry IL 60050-5484 |
| Mailing Address |
675 Forest Ave Apt A Elgin IL 60120-4462 |
| Practice Telephone | 8153442970 |
| Mailing Telephone | 8475281828 |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2019-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 056.013238 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619509569 | Alyssa Ann Clark | Specialist/Technologist | 1150 Edina St, Dubuque, IA 52001-4203 | 2020-02-09 |
| 1548785900 | Alyssa Clark | Behavioral Analyst | 456 Russellville Rd, Westfield, MA 01085-1180 | 2017-08-07 |
| 1902233083 | Alyssa Nanette Clark | Massage Therapist | 140 N 4th St, East Tower 17th Floor, Louisville, KY 40202-4227 | 2013-10-03 |
| 1891731196 | Alyssa Clark | Speech-Language Pathologist | 9 Lakefield Dr, Marlton, NJ 08053-5321 | 2006-06-22 |
| 1467078766 | Alyssa Clark | Behavior Technician | 6600 W Charleston Blvd Ste 111, Las Vegas, NV 89146-1067 | 2020-06-23 |
| 1003467473 | Alyssa Compton Clark | Community Health Worker | 3857 Martin Way E, Olympia, WA 98506-5268 | 2019-09-26 |
| 1306314521 | Alyssa Clark | Technician/Technologist | 32100 Telegraph Rd Ste 205, Bingham Farms, MI 48025-2454 | 2018-11-06 |
| 1962982223 | Alyssa Marie Clark | Speech-Language Pathologist | 401 Oakwood Blvd, Round Rock, TX 78681-4067 | 2018-08-16 |
| 1154813285 | Alyssa Clark | Behavior Technician | 358 S 700 E Ste B307, Salt Lake City, UT 84102-2161 | 2018-06-04 |
| 1407376288 | Alyssa Clark | Occupational Therapist | 802 W Drake Rd Ste 133a, Fort Collins, CO 80526-5567 | 2017-06-22 |
| Street Address |
4605 W CRYSTAL LAKE RD |
| City | MCHENRY |
| State | IL |
| Zip Code | 60050-5484 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134746803 | Taylor Mckenna | Speech-Language Pathologist | 4605 W Crystal Lake Rd, Mchenry, IL 60050-5484 | 2020-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932728003 | Tco Jv, LLC | Skilled Nursing Facility | 550 Ridgeview Drive, Mchenry, IL 60050 | 2020-04-09 |
| 1992274971 | Lisa Luedtke | Counselor | 5342 West Elm Street, Mchenry, IL 60050 | 2018-11-19 |
| 1013402825 | Fox Ridge Medical Associates, LLC | Internal Medicine | 3633 Municipal Dr, Mchenry, IL 60050 | 2018-06-25 |
| 1700387065 | Richard Stacy Birmantas | Speech-Language Pathologist | 6515 West Route 120, Mchenry, IL 60050 | 2018-02-22 |
| 1659888774 | Kathleen Mather | Speech-Language Pathologist | 3502 Washington St, Mchenry, IL 60050 | 2018-01-10 |
| 1891205605 | Delorean Mckinney | Psychologist | 4031 Dayton Ave, Mchenry, IL 60050 | 2017-10-06 |
| 1851810741 | Diana Park | Pharmacist | 2253 N. Richmond Rd., Mchenry, IL 60050 | 2017-09-12 |
| 1063931921 | Lauren M Young | Counselor | 4031 W. Dayton Street, Mchenery, IL 60050 | 2017-09-12 |
| 1376086264 | Elizabeth Kathleen Zacher | Social Worker | 4100 W Dayton Street, Mchenry, IL 60050 | 2016-11-23 |
| 1700332491 | Jasmine Elias | Social Worker | 4031 Dayton St, Mchenry, IL 60050 | 2016-09-01 |
| Find all providers in zip 60050 | ||||
| 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 |
|---|---|---|---|---|
| 1922644780 | Wendi Lary | Occupational Therapist | 3711 W Kane Ave, Mchenry, IL 60050-5524 | 2019-11-26 |
| 1851898308 | Heidi Rechenberg | Occupational Therapist | 3300 Charles Miller Rd Apt 227, Mchenry, IL 60050-0714 | 2018-04-11 |
| 1154662377 | Teresa Wintersdorf | Occupational Therapist | 3212 W Lorient Dr, Mchenry, IL 60050-6115 | 2013-03-13 |
| 1659903680 | Masha Boyko Goode | Occupational Therapist | 3300 Charles Miller Rd, Mchenry, IL 60050-0710 | 2020-02-07 |
| 1740827625 | Haylie Rebilas | Occupational Therapist | 406 Front St Ste 110, Mchenry, IL 60050-5593 | 2019-12-10 |
| 1063941169 | Samantha Leigh Wahlgren | Occupational Therapist | 3516 Waukegan Rd, Mchenry, IL 60050-5732 | 2017-06-12 |
| 1609263110 | Jill L Ritzman | Occupational Therapist | 3922 Mercy Dr, Mchenry, IL 60050-3179 | 2015-04-22 |
| 1134542475 | Gabrielle Fisher | Occupational Therapist | 3516 Waukegan Rd, Mchenry, IL 60050-5732 | 2014-01-22 |
| 1346592987 | Cassandra Ann Wanek | Occupational Therapist | 2507 N Richmond Rd, Mchenry, IL 60051-5407 | 2012-10-05 |
| 1710146436 | Kathleen Marie Braun | Occupational Therapist | 4201 W Medical Center Dr, Mchenry, IL 60050-8409 | 2008-06-06 |
| Find all providers in MCHENRY | ||||
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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.