Jennifer Ann Clark

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT13550 Issued in FL

Practice address

859 Michele Cir
Dunedin, FL 34698-6131

Phone

(215) 696-5568

NPI assigned

Mar 16, 2009

Last updated

Jul 22, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Prehab Consultants, LLC

  • Occupational Therapist
  • Dunedin, FL
  • NPI 1609549807
  Authorized official Same address or phone

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1316188766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "859 MICHELE CIR",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346986131",
            "telephone_number": "215-696-5568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859 MICHELE CIR",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346986131",
            "telephone_number": "215-696-5568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-16",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT13550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chmiel Corp
• Diane Chonacki
• Andrew Chu, DO
• James R. Cipriano, PA
• City of Dunedin
• Krishana T Clark, DC
• Dwight Clarke, MD
• Michele B Cleary, RD
• Terrance Clemans
• Clinicare Diagnostics, Inc. (Clinicare Diagnostic Medical Services)

• Occupational Therapist in Dunedin, FL
• Providers in Dunedin, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; 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.