Austin Hope Clark

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

282488 Issued in KY

Practice address

3761 Johnson Hall Dr
Masonic Home, KY 40041-9998

Phone

(502) 293-1696

NPI assigned

Jan 5, 2023

Last updated

Jan 9, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Empowerme Rehabilitation Kentucky, LLCGroup PAC ID 1850729211, 108 clinicians

Healthpro Heritage Rehab and Fitness LLCGroup PAC ID 6507832573, 976 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Empowerme Rehabilitation Kentucky, LLC

  • Multi-Specialty Clinic/Center
  • Lexington, KY
  • NPI 1275166696

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Louisville, KY
  • NPI 1770054686

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• The Weston Group Inc

  • Physical Therapist
  • Lexington, KY
  • NPI 1316056682
  Medicare reassignment
• Empowerme Rehabilitation Kentucky, LLC

  • Rehabilitation Clinic/Center
  • Florence, KY
  • NPI 1669195640
  NPD
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Independence, MO
  • NPI 1871072462

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1619680550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 HOWARD DR",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400658138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3761 JOHNSON HALL DR",
            "city": "MASONIC HOME",
            "state": "KY",
            "postal_code": "400419998",
            "telephone_number": "502-293-1696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "AUSTIN",
        "middle_name": "HOPE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "282488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Assocaites in Pediatric Therapy LLC
• Morgan Boyd, RBT
• Jamie Kathryn Brake
• Shannon Carty-Janis, MS, BCBA, LBA
• Morgan Kaye Chambliss
• Jalyn Evette Crump
• Jolie Dandurand
• Mackenzie Dial, RBT
• Kylie Rae Dombrosky, MED, BCBA, LBA
• Fresenius Medical Care Masonic Homes, LLC (Fresenius Medical Care Masonic Home)

• Occupational Therapist in Masonic Home, KY
• Providers in Masonic Home, KY by specialty
• Occupational Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.