KELLY FISHER CLARK (NPI# 1760555809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760555809 |
| Entity Type | Individual |
| Full Name | KELLY FISHER CLARK |
| Other Name | KELLY MARIE FISHER |
| Credential | OT |
| Practice Address |
33 Morgan Dr Lebanon NH 03766-1408 |
| Practice Telephone | 6036437788 |
| Practice Fax Number | 6036430022 |
| Mailing Telephone | 6036437788 |
| Mailing Fax Number | 6036430022 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2011-12-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | NH1806 | NH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30414483 | 05 | |
| VT | 1012138 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861026650 | Kelly Ann Clark | Nurse Practitioner | 4590 Childrens Pl, Saint Louis, MO 63110-1020 | 2020-03-02 |
| 1013474410 | Kelly Patricia Clark | Licensed Practical Nurse | 55 Pine Dr E, Mason, MI 48854-9229 | 2019-02-22 |
| 1013497304 | Kelly Ann Clark | Case Manager/Care Coordinator | 2498 Wenona Dr, Wixom, MI 48393-2199 | 2018-08-16 |
| 1407336720 | Kelly Elizabeth Clark | Physical Medicine & Rehabilitation | 3800 Reservoir Rd., Bles Building, Ground Floor, Department of Pm&r, Washington, DC 20007-2113 | 2018-08-16 |
| 1356747448 | Kelly Clark | Dietitian, Registered | 46 Mallards Cv, Duxbury, MA 02332-3548 | 2014-11-17 |
| 1568883312 | Kelly Clark | Licensed Practical Nurse | 125 W Bartlette St, Apt. 110, Sumter, SC 29150-5173 | 2013-12-20 |
| 1306105903 | Kelly Thomas Clark | Speech-Language Pathologist | 3406 Fowler Ct, Missouri City, TX 77459-6366 | 2012-05-16 |
| 1619247509 | Kelly Jane Clark | Pharmacist | 328 Quail Walk Trl, Chapin, SC 29036-9791 | 2012-01-09 |
| 1427350461 | Kelly Darlene Clark | Chiropractor | 2425 Mahan Dr, Tallahassee, FL 32308-2301 | 2010-11-24 |
| 1538479324 | Kelly S Clark | Licensed Vocational Nurse | 15716 W High St # 597, Middlefield, OH 44062-9201 | 2010-10-14 |
| Street Address |
33 MORGAN DR |
| City | LEBANON |
| State | NH |
| Zip Code | 03766-1408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124062302 | William J Cioffredi | Physical Therapist | 33 Morgan Dr, Lebanon, NH 03766-1408 | 2006-06-16 |
| 1508298936 | Sharon K Mcmonagle | Physical Therapist | 33 Morgan Dr, Lebanon, NH 03766-1408 | 2013-08-08 |
| 1699112011 | Tomasz L Jankowski | Physical Therapist | 33 Morgan Dr, Lebanon, NH 03766-1408 | 2013-05-24 |
| 1306172515 | Melissa A Oleson | Physical Therapist | 33 Morgan Dr, Lebanon, NH 03766-1408 | 2009-10-22 |
| 1578740130 | Lisa Michelle Meyers | Physical Therapist | 33 Morgan Dr, Lebanon, NH 03766-1408 | 2008-01-25 |
| 1508050345 | Kylie J Ammel | Specialist/Technologist | 33 Morgan Dr, Lebanon, NH 03766-1408 | 2007-09-05 |
| 1841484755 | Amy Elizabeth Gubbins | Physical Therapist | 33 Morgan Dr, Lebanon, NH 03766-1408 | 2007-09-04 |
| 1760519417 | Bonnie K Kimmelman | Physical Therapist | 33 Morgan Dr, Lebanon, NH 03766-1408 | 2007-02-28 |
| 1588737605 | Michele Ellen Gerow | Occupational Therapist | 33 Morgan Dr, Lebanon, NH 03766-1408 | 2006-11-16 |
| 1821161993 | Troy Frederick Stratton | Physical Therapist | 33 Morgan Dr, Lebanon, NH 03766-1408 | 2006-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033580345 | Leah E Abrahamsen | Social Worker | 85 Mechanic Street Suite 3b-1, Dartmouth Hitchcock - Psychiatry, Lebanon, NH 03766 | 2015-10-13 |
| 1871982801 | Steps Opioid Addiction Treatment | Clinic/Center | 1 Glen Road, Suite 216, Lebanon, NH 03766 | 2015-01-14 |
| 1811282288 | Lisa Golden Morse | Occupational Therapist | 23 Mahon St, Lebanon, NH 03766 | 2011-06-14 |
| 1750607131 | Timothy Joseph Lin | Orthopaedic Surgery | 1 Medical Center Drive Orthopaedics, Lebanon, NH 03766 | 2010-04-11 |
| 1457673857 | Melanie A Baker | Dental Hygienist | One Court Street, Suite 270, Lebanon, NH 03766 | 2010-02-26 |
| 1568613073 | Peter Keith Isquith | Clinical Neuropsychologist | 367 Route 120 Unit B1, Hanover Road Professional Center, Lebanon, NH 03766 | 2008-10-02 |
| 1235317512 | Leslie Sudak | Speech-Language Pathologist | 10 Mascoma St, Lebanon, NH 03766 | 2008-02-08 |
| 1891973269 | Dc Whitfield | Nurse Practitioner | 20 W Park St Ste 418, Lebanon, NH 03766 | 2008-02-07 |
| 1588879951 | Charles R Meyers | Acupuncturist | 2 Whipple Place, Lebanon, NH 03766 | 2007-05-11 |
| 1285859686 | Thomas A Johnston | Dentist | 206 Heater Road, Lebanon, NH 03766 | 2007-04-13 |
| Find all providers in zip 03766 | ||||
| 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 |
|---|---|---|---|---|
| 1447866611 | Independent Physical Therapy, LLC | Occupational Therapist | 920 S Hartmann Dr Ste 330, Lebanon, TN 37090-4136 | 2020-09-22 |
| 1508482266 | Brooke Ashley White | Occupational Therapist | 4104 Belle Terrace Ln, Lebanon, OH 45036-8241 | 2020-06-18 |
| 1972081206 | Alesha Nicole Elder | Occupational Therapist | 1740 Miller Pike, Lebanon, KY 40033-9257 | 2018-07-30 |
| 1659883312 | Sara K Poole | Occupational Therapist | 408 Fields Ave., Lebanon, VA 24266 | 2017-11-02 |
| 1063945699 | Kelsey Bush | Occupational Therapist | 238 Green Valley Rd, Lebanon, VA 24266-6161 | 2017-04-10 |
| 1740636521 | Dawn Shepherd | Occupational Therapist | 875 Wassom St, Lebanon, OR 97355-1169 | 2016-05-10 |
| 1487043998 | Catherine Pawlak | Occupational Therapist | 1098 Heritage Trace, Lebanon, OH 45036-8598 | 2015-01-21 |
| 1649671868 | Debra Hanson | Occupational Therapist | 30072 120 Rd, Lebanon, KS 66952-8854 | 2014-09-07 |
| 1972922771 | Sarah Mather | Occupational Therapist | 825 Hart Rd, Lebanon, OH 45036-8699 | 2014-04-09 |
| 1699108191 | Elizabeth Mary Beal Johnson | Occupational Therapist | 484 Jim Grant Rd, Lebanon, ME 04027-4340 | 2013-08-20 |
| Find all providers in LEBANON | ||||
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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.