Active NPI
Catherine Clark
- Occupational Therapist
- Chicago, IL
National Provider Identifier
1457755878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 1936 N Mohawk St
Apt 2
Chicago, IL 60614-5251 - Phone
- (678) 925-1470
- NPI assigned
- Oct 14, 2014
- Last updated
- Jan 2, 2017
- 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 | Primary |
Addresses
Primary practice location
1936 N Mohawk St
Apt 2
Chicago, IL 60614-5251
Mailing address
1936 N Mohawk St
Apt 2
Chicago, IL 60614-5251
Phone (678) 925-1470
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483315200000",
"number": "1457755878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1936 N MOHAWK ST",
"address_2": "APT 2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606145251",
"telephone_number": "678-925-1470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1936 N MOHAWK ST",
"address_2": "APT 2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606145251",
"telephone_number": "678-925-1470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "CATHERINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-14",
"last_updated": "2017-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.