Judith Lynn Clark, COTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA0128 Issued in OH

Practice address

6455 Pearl Rd
Parma Heights, OH 44130-2984

Phone

(440) 887-6254

NPI assigned

Mar 11, 2008

Last updated

Mar 11, 2008By 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

State licenses

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205193600000",
    "number": "1316117898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 STANFORD AVE",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440356011",
            "telephone_number": "440-323-2432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6455 PEARL RD",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441302984",
            "telephone_number": "440-887-6254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "JUDITH",
        "middle_name": "LYNN",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "PTA0128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Foytik Lisw-S (The Center for Conscious Community)
• Francis William Chiappa, PH.D.
• Kelly Louise Christy, STNA
• Charles Nunzio Cicero, DDS
• City of Parma Heights
• Clear Choice Assisted Living LLC
• Cleveland Vision Center II LLC (Cleveland Vision Center)
• Alexus Colon, PMHNP
• Lee S Conner, DDS
• Melinda Marie Cook

• Physical Therapy Assistant in Parma Heights, OH
• Providers in Parma Heights, OH by specialty
• Physical Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.