Colleen Clash, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

08849 Issued in MD

Practice address

1410 Forest Dr Ste 29
Annapolis, MD 21403-1446

Phone

(410) 280-8774

NPI assigned

Nov 19, 2019

Last updated

Aug 17, 2023By the provider in NPPES

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)

Not enrolled

Practice roles

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

• Chesapeake Occupational Therapy Associates, LLC

  • Rehabilitation Clinic/Center
  • Annapolis, MD
  • NPI 1013339357
  NPD (past)

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1215573746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16010 CARNIVAL AVE",
            "city": "UPPERCO",
            "state": "MD",
            "postal_code": "211559509",
            "telephone_number": "443-929-4804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 FOREST DR STE 29",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214031446",
            "telephone_number": "410-280-8774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLASH",
        "first_name": "COLLEEN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-19",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MD",
            "license": "08849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael B Clark, M.D.
• Paul Gordon Clark, MD
• Sally E. Clark, LAC, RN
• Megan Reiter Clarke
• Maureen E Clary, MA, CAGS, NCSP
• Zachary Bonner Claudio, MD
• Christina Claypool
• Leticia Carissa Claytor-Hardy, AU.D.
• Clean and Sober (Alcohol and Drug Recovery)
• Clear View Counseling Center, LLC

• Pediatric Occupational Therapist in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Pediatric Occupational Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.