Tess Clark, MS

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

11175 Issued in MA

Practice address

74 Bridge St
Newton, MA 02458-1147

Phone

(617) 969-4410

Fax

(617) 969-4412

NPI assigned

Mar 21, 2014

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

Other names 1

• Ms. Tess Clark Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Occupational Therapy Associates - Watertown, Inc.

  • Clinic/Center
  • Newton, MA
  • NPI 1750429072
  NPD (past)
• Ota the Koomar Center, LLC

  • Pediatric Occupational Therapist
  • Newton, MA
  • NPI 1679167720

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1395360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490745600000",
    "number": "1346667847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MYSTIC ST # 1",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "021291916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 BRIDGE ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581147",
            "telephone_number": "617-969-4410",
            "fax_number": "617-969-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "TESS",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-21",
        "last_updated": "2017-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MA",
            "license": "11175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TESS",
            "last_name": "CLARK",
            "prefix": "MS.",
            "credential": "MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Leslie Chyten, LICSW
• Jennifer Lynn Ciano, MS CCC-A
• Latirah Cisero
• Corey Claffey, NP
• Gabriella Noelle Clark
• Kelli Clavin
• Cami Lee Cleaveland, D.C
• Lutane Clenord
• Chantal Clerveaux
• Elizabeth B Click, LICSW

• Pediatric Occupational Therapist in Newton, MA
• Providers in Newton, MA by specialty
• Pediatric Occupational Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; 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.