Clarissa Nicole Kercher, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

120228 Issued in TX

Practice address

1707 Fountainview Dr
Mansfield, TX 76063-5091

Phone

(817) 752-9662

NPI assigned

Oct 3, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• On Point MVP LLC

  • Rehabilitation Clinic/Center
  • Richardson, TX
  • NPI 1811604242
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1154962728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 FOUNTAINVIEW DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635091",
            "telephone_number": "817-752-9662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 FOUNTAINVIEW DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635091",
            "telephone_number": "817-752-9662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERCHER",
        "first_name": "CLARISSA",
        "middle_name": "NICOLE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-03",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "120228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith D Rigsby, MD, PA
• Keith D Rigsby, MD, PA
• Kelmed Home Health Services Inc
• Natai Kempf, REGISTERED NURSE
• Rebecca Sagebiel Kendrick, NP
• Annette M. Kerr, LPC
• Megan Kerr
• Kerstin a Archer, MD, PA
• Khuong Phan, D.O., P.a.
• Kidsville Pediatrics Mansfield

• Pediatric Occupational Therapist in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Pediatric Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.