Active NPI
Patricia Jane Clark, OT
- Occupational Therapist
- Turner, ME
National Provider Identifier
1427665694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 048
- Practice address
- Patricia Clark
408 Center Bridge Road
Turner, ME 04282 - Phone
- (207) 754-9793
- NPI assigned
- Sep 30, 2020
- Last updated
- Sep 30, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 048 | ME | Primary |
Addresses
Primary practice location
Patricia Clark
408 Center Bridge Road
Turner, ME 04282
Mailing address
15 Strawberry Ave
Lewiston, ME 04240-5941
Phone (207) 330-9325
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 048 | ME | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601424000000",
"number": "1427665694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 STRAWBERRY AVE",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042405941",
"telephone_number": "207-330-9325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PATRICIA CLARK",
"address_2": "408 CENTER BRIDGE ROAD",
"city": "TURNER",
"state": "ME",
"postal_code": "04282",
"telephone_number": "207-754-9793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "PATRICIA",
"middle_name": "JANE",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-30",
"last_updated": "2020-09-30",
"certification_date": "2020-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ME",
"license": "048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Turner, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.