Clark Fork Occupational Therapy

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

CLARK FORK OCCUPATIONAL THERAPY

Practice address

901 SW Higgins Ave
Missoula, MT 59803-3600

Phone

(406) 552-1480

NPI assigned

Oct 21, 2024

Organization subpart

No

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

Authorized official

Name

Sarah Moore, OTD, OTR/LNPI 1093396673

Title

Occupational Therapist

Phone

(406) 249-0302

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sarah Moore, OTD, OTR/L

  • Occupational Therapist
  • Missoula, MT
  • NPI 1093396673
  NPD Authorized official

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1215758339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 BURLINGTON AVE",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598015254",
            "telephone_number": "406-249-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 SW HIGGINS AVE",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598033600",
            "telephone_number": "406-552-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK FORK OCCUPATIONAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "406-249-0302",
        "authorized_official_credential": "OTD, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clark Fork Behavioral Health Inc.
• Clark Fork Dental
• Clark Fork Emergency Physicians PLLC
• Clark Fork Healthcare, LLC
• Clark Fork Healthcare, LLC
• Dessye-Dee M Clark, ARNP, PHD
• Marissa Clark, MS, CGC
• Michael L Clark, DC
• Rita Cunneen Clark, PHARMD RPH
• Shelley Clark, DPT

• Occupational Therapist in Missoula, MT
• Providers in Missoula, MT by specialty
• Occupational Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.