Denise Clark, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201007046 Issued in MI

Practice address

1101 S Scott Rd
Saint Johns, MI 48879-8044

Phone

(989) 224-8936

NPI assigned

Jun 26, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Denise Rogers Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1184285454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3085 N KREPPS RD",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488799048",
            "telephone_number": "989-292-2691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S SCOTT RD",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488798044",
            "telephone_number": "989-224-8936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "DENISE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-26",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201007046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENISE",
            "last_name": "ROGERS",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert Edward Cartwright, M.A.L.L.P.
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• Kimberlee Chesney, D.O.
• Clinton Area Ambulance Service Authority
• Clinton Area Ambulance Service Authority
• Clinton Area Care Center, Inc
• Clinton County Family Resource Center
• Clinton County Medical Center PC

• Occupational Therapist in Saint Johns, MI
• Providers in Saint Johns, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.