Active NPI
Barbara Kay Clark, OTR
- Occupational Therapist
- Indianapolis, IN
National Provider Identifier
1366643413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31002543A
- Practice address
- 8616 W 10TH St
Indianapolis, IN 46234-2167 - Phone
- (317) 271-1020
- NPI assigned
- May 29, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 31002543A | IN | Primary |
Addresses
Primary practice location
8616 W 10TH St
Indianapolis, IN 46234-2167
Mailing address
8704 Center St
Indianapolis, IN 46234-1505
Phone (317) 299-2824
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31002543A | IN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184025600000",
"number": "1366643413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8704 CENTER ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462341505",
"telephone_number": "317-299-2824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8616 W 10TH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462342167",
"telephone_number": "317-271-1020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "BARBARA",
"middle_name": "KAY",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-29",
"last_updated": "2007-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31002543A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.