MS. BEVERLY ELAINE CLARK (NPI# 1861742777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861742777 |
| Entity Type | Individual |
| Full Name | MS. BEVERLY ELAINE CLARK |
| Credential | OT |
| Practice Address |
10803 Par Lane Wichita KS 67212-5948 |
| Mailing Address |
10803 W Par Ln Wichita KS 67212-5948 |
| Practice Telephone | 3167216997 |
| Mailing Telephone | 3167216997 |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2012-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 17-00289 | KS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518337732 | Beverly Clark | Nurse Practitioner | 803 West Main Street, Mountain View, AR 72560 | 2015-09-30 |
| 1649404625 | Beverly Marie Clark | Family Medicine | 1004 E. Madison St, Yates Center, KS 66783-1314 | 2009-05-06 |
| 1992707814 | Beverly A Clark | Pharmacist | 5021 Monck Ct, Wilmington, NC 28409-3173 | 2005-08-11 |
| 1033655675 | Beverly Clark | Technician, Other | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2017-01-06 |
| 1770583924 | Beverly Anne-marie Clark | Specialist | 321 Genesee St, Oneida, NY 13421 | 2005-07-29 |
| Street Address |
10803 PAR LANE |
| City | WICHITA |
| State | KS |
| Zip Code | 67212-5948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396974 | Kim Deann Kercher | Physical Therapist | Legacy At Grassland Estates, 10665 W 13th St N Apt 329, Wichita, KS 67212 | 2020-11-04 |
| 1700370954 | Andrea Lou Wheeler | Registered Nurse | 658 N Fairway Ave, Wichita, KS 67212 | 2018-06-20 |
| 1568981231 | Wichita Family Dental LLC | Dentist | 1445 N. Ridge Rd, Wichtia, KS 67212 | 2017-09-14 |
| 1396260121 | Keegan Hemberger | Pharmacist | 555 N. Maize Road, Wichita, KS 67212 | 2017-08-14 |
| 1154877603 | Alicia Rose Landrum | Counselor | 515 N Ridge Rd Ste 105, Wichita, KS 67212 | 2016-08-25 |
| 1306218920 | Brandee Young | Occupational Therapist | 9710 W. Jamesburg, Wichita, KS 67212 | 2015-10-22 |
| 1588072201 | Michelle Kuhn | Pharmacist | 10515 W Central, Wichita, KS 67212 | 2014-07-25 |
| 1972914083 | Linda Mueller Mueller | Marriage & Family Therapist | 4425 West Zoo Blvd, Wichita, KS 67212 | 2014-05-12 |
| 1619392305 | Jessica Smith | Counselor | 1319 W May, Wichita, KS 67212 | 2014-03-04 |
| 1245652064 | Keepsake Kottage, LLC | Custodial Care Facility | 8801 W Bekemeyer, Wichita, KS 67212 | 2014-01-14 |
| Find all providers in zip 67212 | ||||
| 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 |
|---|---|---|---|---|
| 1871193045 | Katherine Norman | Occupational Therapist | 929 N St Francis St Fl Tower6, Wichita, KS 67214-3821 | 2020-10-27 |
| 1669029468 | Serc Rehabilitation Partners LLC | Occupational Therapist | 13011 E 21st St N Ste 107, Wichita, KS 67230-7407 | 2019-08-26 |
| 1194372342 | Briana Renea Drury | Occupational Therapist | Via Christi Village 777 N Mclean Blvd, Wichita, KS 67203 | 2019-08-22 |
| 1205314010 | Elizabeth Clink | Occupational Therapist | 560 N Exposition St # C, Wichita, KS 67203-5902 | 2018-08-02 |
| 1164952438 | Christa Larson | Occupational Therapist | 639 S Maize Ct, Wichita, KS 67209-1337 | 2017-06-19 |
| 1144765926 | Preferred Pt, LLC | Occupational Therapist | 200 W Douglas Ave Ste 1040, Wichita, KS 67202-3017 | 2017-01-03 |
| 1558806968 | Heather Berry | Occupational Therapist | 13408 E Tallowood Dr, Wichita, KS 67230-1766 | 2016-12-21 |
| 1730636846 | Legacy Healthcare Services, Inc. | Occupational Therapist | 10665 W 13th St N, Wichita, KS 67212-5600 | 2016-09-07 |
| 1972953263 | James Wesley Bacon | Occupational Therapist | 1770 S Rock Rd Apt 810, Wichita, KS 67207-5177 | 2016-06-16 |
| 1306218920 | Brandee Young | Occupational Therapist | 9710 W. Jamesburg, Wichita, KS 67212 | 2015-10-22 |
| Find all providers in WICHITA | ||||
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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.