Catherine Clarke, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00824500 Issued in NJ

Practice address

12 Momar Dr
Bergenfield, NJ 07621-1419

Phone

(201) 824-3945

NPI assigned

Jun 5, 2018

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

• Catherine Galligan 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": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1235621129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 MOMAR DR",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076211419",
            "telephone_number": "201-824-3945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 MOMAR DR",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076211419",
            "telephone_number": "201-824-3945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "CATHERINE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-05",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00824500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "GALLIGAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chiropractic Health Centre PC
• Seulji Choi
• Rivka Talia Chudnoff, MS,PT
• Eleanor Clark
• Brianna Clarke
• Samantha Cohen, DO
• Cicero Tanalgo Coloma, RPH
• Melissa Colon, BCBA
• Alissa J Conce, PA-C
• Aracelis Concepcion

• Occupational Therapist in Bergenfield, NJ
• Providers in Bergenfield, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; 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.