Christopher Clark, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

07888 Issued in MD

Practice address

101 Applied Bank Blvd Ste D4
Glen Mills, PA 19342

Phone

(610) 459-2731

Fax

(610) 459-2762

NPI assigned

Apr 15, 2016

Last updated

May 30, 2018By the provider in NPPES

Sex

Male

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

Enrolled in DE, PA2 enrollments

Enrollment records 2

Specialty

Occupational Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Philadelphia Hand Surgeon PLLCGroup PAC ID 7416213475, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GEDIDD
• FHIR API: https://fhir4.healow.com/fhir/r4/GEDIDD/Endpoint/GEDIDD

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.

• Philadelphia Hand Surgeon PLLC

  • Surgery of the Hand (Surgery) Physician
  • Media, PA
  • NPI 1972020642
  Medicare reassignment Care Compare group NPD
• Blue Hen Physical Therapy, Inc.

  dba Novacare Rehabilitation

  • Physical Therapy Clinic/Center
  • Newark, DE
  • NPI 1104861913
  Medicare reassignment NPD
• Blue Hen Physical Therapy, Inc.

  dba NovaCare Rehabilitation

  • Physical Therapy Clinic/Center
  • Newark, DE
  • NPI 1174214548
  NPD

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

{
    "created_epoch": "1460678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527638400000",
    "number": "1285088385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 APPLIED BANK BLVD STE D4",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193423501",
            "telephone_number": "610-459-2731",
            "fax_number": "610-459-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 APPLIED BANK BLVD STE D4",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "19342",
            "telephone_number": "610-459-2731",
            "fax_number": "610-459-2762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-15",
        "last_updated": "2018-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "07888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christiana Care Brinton Lake Endoscopy, LLC
• Christiana Care Pennsylvania Inc (CCHS Gastroenterology PA)
• Christiana Care Pennsylvania Inc
• Christiana Care Pennsylvania Inc (CCHS Pulmonary Practice PA)
• Chronic Condition Recovery Center, Inc
• Marichris Lim Clark, O.D.
• Maureen K. Clark, CRNP
• Steven Brad Cohen, M.D.
• Ann W Coia, LPC
• Kaitlyn Colagreco

• Occupational Therapist in Glen Mills, PA
• Providers in Glen Mills, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.