Cassandra Clark, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT3297 Issued in ME

Practice address

12 Westbrook CMN
Westbrook, ME 04092-2819

Phone

(207) 791-7210

NPI assigned

Mar 25, 2017

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

Other names 1

• Cassandra Lyons Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Wiggle Worms Pediatric Physical Therapy, LLC

  • Speech-Language Pathologist
  • York, ME
  • NPI 1063962116
  NPD (past)
• Wiggle Worms Pediatric Physical Therapy, LLC

  • Physical Therapist
  • York, ME
  • NPI 1922173855
  NPD (past)

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

{
    "created_epoch": "1490400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1689105157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 BLUEBERRY DR",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041066891",
            "telephone_number": "207-671-4416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 WESTBROOK CMN",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040922819",
            "telephone_number": "207-791-7210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "764 US Route 1",
            "address_2": "Unit 4",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "ME",
            "postal_code": "039095883",
            "country_code": "US",
            "telephone_number": "207-351-3078",
            "fax_number": "207-351-3083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "CASSANDRA",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-25",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT3297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSANDRA",
            "last_name": "LYONS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mikayla Chase, APRN-FNP
• Erin Catherine Chasse, OTR/L
• Bruce Chemelski, PHD
• City of Westbrook (Westbrook Fire Rescue)
• Amanda Clark, PHARMD, RPH
• Peter Michael Clark, ATC, CSCS
• Davan J Clawson, LCS
• Paul C Cloutier, DDS,PA
• Christina Roman Cole, MSOTRL
• Collection Homecare LLC

• Occupational Therapist in Westbrook, ME
• Providers in Westbrook, ME by specialty
• Occupational Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; 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.