Tyler A Clark

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OT-A1435 Issued in AR

Practice address

552 Golf Links Rd
Hot Springs, AR 71901-7917

Phone

(501) 624-7149

NPI assigned

Dec 24, 2018

Last updated

Dec 24, 2018By the provider in NPPES

Sex

Male

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1545609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545609600000",
    "number": "1346712767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 WINONA DR",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721136301",
            "telephone_number": "501-658-6122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 GOLF LINKS RD",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719017917",
            "telephone_number": "501-624-7149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "TYLER",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-24",
        "last_updated": "2018-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AR",
            "license": "OT-A1435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christen L. Kauffman D.D.S., P.a.
• Christus Continuing Care (CHRISTUS Dubuis Hospital of Hot Springs)
• Kelsey Chumley, APRN
• Caillouet Clark, MCD, CCC-SLP
• Cody Lee Clark, D.D.S.
• Baylie Leann Clayton, APRN
• Jamie Clem, LPN
• Richard Neill Clem, OD
• Mikah Clement
• Amy Lynn Cleveland, MD

• Occupational Therapy Assistant in Hot Springs, AR
• Providers in Hot Springs, AR by specialty
• Occupational Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 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.