STEPHANIE W. CLARK (NPI# 1851588610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851588610 |
| Entity Type | Individual |
| Full Name | STEPHANIE W. CLARK |
| Credential | OT |
| Practice Address |
6635 Lake Dr Morrow GA 30260-2354 |
| Practice Telephone | 6784224300 |
| Practice Fax Number | 6784224299 |
| Mailing Telephone | 6784224300 |
| Mailing Fax Number | 6784224299 |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2007-09-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT001572 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922612605 | Stephanie Clark | Massage Therapist | 15227 Spring Cor, San Antonio, TX 78247-1693 | 2020-09-01 |
| 1811516156 | Stephanie Clark | Social Worker | 10185 Isle St, Parker, CO 80134-5788 | 2020-04-15 |
| 1306486444 | Stephanie Clark | Licensed Practical Nurse | 636 Clay Ave Uppr, Rochester, NY 14613-1030 | 2020-01-07 |
| 1841681046 | Stephanie Clark | Technician, Other | 2917 S Ash Ct, Broken Arrow, OK 74012-7804 | 2015-02-09 |
| 1760816326 | Stephanie Diane Clark | Case Manager/Care Coordinator | 4613 Se 41st St, Del City, OK 73115-3703 | 2013-08-30 |
| 1538447560 | Stephanie Renae Clark | Physical Therapist | 927 Battlefield Blvd N, Suite 200, Chesapeake, VA 23320-4853 | 2011-07-25 |
| 1932330545 | Stephanie D Clark | Social Worker | 16581 Us Highway 17 N Ste 600, Hampstead, NC 28443-7451 | 2009-07-30 |
| 1487719787 | Stephanie Clark | Licensed Practical Nurse | 55 Ramble Hill Lane, Millbrook, NY 12545 | 2006-12-27 |
| 1811057425 | Stephanie Clark | Dentist | 7601 A Germantown Ave, Philadelphia, PA 19119 | 2006-12-12 |
| 1700864733 | Stephanie Elaine Clark | Audiologist | 13934 N 59th Ave, Ste 120, Glendale, AZ 85306-4167 | 2006-01-09 |
| Street Address |
6635 LAKE DR |
| City | MORROW |
| State | GA |
| Zip Code | 30260-2354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295720977 | Scott J Cahoon | Orthopaedic Surgery | 6635 Lake Dr, Morrow, GA 30260-2354 | 2005-09-19 |
| 1255776902 | Angela E. Cochran | Registered Nurse | 6635 Lake Dr, Morrow, GA 30260-2354 | 2013-05-08 |
| 1487907440 | Spencer O. Rowland | Physician Assistant | 6635 Lake Dr, Morrow, GA 30260-2354 | 2012-10-16 |
| 1386974251 | Ashley Elaine Martin | Nurse Practitioner | 6635 Lake Dr, Morrow, GA 30260-2354 | 2009-12-28 |
| 1801007414 | Tawiah Shukura Sanders | Physical Therapist | 6635 Lake Dr, Morrow, GA 30260-2354 | 2007-05-25 |
| 1407983646 | Resurgens, PC | Orthopaedic Surgery | 6635 Lake Dr, Morrow, GA 30260-2354 | 2007-02-27 |
| 1205993391 | David A Flores | Specialist/Technologist | 6635 Lake Dr, Morrow, GA 30260-2354 | 2007-01-02 |
| 1740227883 | Mark N. Mitchell | Physical Therapist | 6635 Lake Dr, Morrow, GA 30260-2354 | 2006-05-31 |
| 1265490031 | Robin A. Miller | Occupational Therapist | 6635 Lake Dr, Morrow, GA 30260-2354 | 2006-05-02 |
| 1982667036 | Windy N. Blair | Occupational Therapist | 6635 Lake Dr, Morrow, GA 30260-2354 | 2006-04-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766605 | C. Alexander Pediatrics LLC | Emergency Medicine | 2180 Rex Road, Morrow, GA 30260 | 2020-10-02 |
| 1578127627 | Osara Dhevmi Malalasekara | Student in an Organized Health Care Education/Training Program | Amc Family Medicine Residency Program, 1000 Corporate Center Dr Suite 200, Morrow, GA 30260 | 2019-04-24 |
| 1902360860 | Katrina Samuels | Technician | 5771 Trammell Rd. Morrow Ga, Morrow, GA 30260 | 2019-01-24 |
| 1679067870 | Atl Sport | Community/Behavioral Health | 5376 Jonesboro Rd, Lake City, GA 30260 | 2018-06-20 |
| 1487184099 | Mamie Rochell Jinks | Driver | 1541 Lakeland Cir, Lake City, GA 30260 | 2017-06-15 |
| 1598202079 | Grace Misi Nteff | Nurse Practitioner | 1000 Clayton Village, Clayton State University, School of Nursing Community, Morrow, GA 30260 | 2017-01-23 |
| 1902357908 | Morrow Family Dentistry, P.C. | Clinic/Center | 6319a Jonesboro Road, Morrow, GA 30260 | 2016-10-14 |
| 1043679418 | Elite Rehab and Weightloss | Chiropractor | 1568 Southlake Pkwy Ste C, Morrow, GA 30260 | 2016-02-15 |
| 1659758985 | Clayton State University | Nurse Practitioner | 5809 Northlake Drive, Bldg 1000, Morrow, GA 30260 | 2015-05-06 |
| 1255731519 | Care First Private Home Care | In Home Supportive Care | 2380 Fairfield Court, Morrow, GA 30260 | 2014-08-23 |
| Find all providers in zip 30260 | ||||
| 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 |
|---|---|---|---|---|
| 1750692786 | Damaris Vela | Occupational Therapist | 6856 Knollwood Dr, Morrow, GA 30260-3211 | 2010-06-24 |
| 1750360384 | Shajuanda Denise Strickland | Occupational Therapist | 1656 Northridge Dr, Morrow, GA 30260-1745 | 2006-01-12 |
| 1760565139 | Ribbit Therapy Services | Occupational Therapist | 1656 Northridge Dr, Morrow, GA 30260-1745 | 2006-10-21 |
| 1265490031 | Robin A. Miller | Occupational Therapist | 6635 Lake Dr, Morrow, GA 30260-2354 | 2006-05-02 |
| 1982667036 | Windy N. Blair | Occupational Therapist | 6635 Lake Dr, Morrow, GA 30260-2354 | 2006-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063011849 | Edc Home Modifications LLC | Occupational Therapist | 2674 Flair Knoll Dr Ne, Atlanta, GA 30345-1318 | 2020-10-22 |
| 1952900912 | Independent Physical Therapy of Ga LLC | Occupational Therapist | 113 Poplar Springs Rd, Ringgold, GA 30736-2808 | 2020-10-21 |
| 1023617305 | Evaline J Trevias | Occupational Therapist | 125 Appleby Dr, Athens, GA 30605-1748 | 2020-10-19 |
| 1447858105 | Independent Physical Therapy of Ga LLC | Occupational Therapist | 5575 New Northside Dr Ste 100, Sandy Springs, GA 30339-5334 | 2020-10-15 |
| 1811595820 | Karen Hefter | Occupational Therapist | 105 Shirewood Park, Peachtree City, GA 30269-1160 | 2020-10-12 |
| 1700493350 | Kristina Rae Molina-croes | Occupational Therapist | 5822 Barkley Ln, Hahira, GA 31632-3025 | 2020-09-28 |
| 1497362107 | Robin T Underwood | Occupational Therapist | 2335 Briarleigh Way, Dunwoody, GA 30338-7005 | 2020-09-26 |
| 1861008880 | India Shae Hawk | Occupational Therapist | 616 Millstone Dr, Evans, GA 30809-5173 | 2020-09-16 |
| 1548874985 | Dana Tindell | Occupational Therapist | 7792 Coffee Rd, Boston, GA 31626-3945 | 2020-09-02 |
| 1982217964 | Vertex Therapy Services | Occupational Therapist | 264 19th St Nw Unit 2321, Atlanta, GA 30363-1150 | 2020-08-28 |
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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.