Jessica Clark

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

0131001822 Issued in VA

Practice address

625 Piney Forest Rd Ste 407
Danville, VA 24540-2870

Phone

(434) 799-7732

NPI assigned

Dec 18, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1513555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513555200000",
    "number": "1700392412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 BRIDGE ST APT 310",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245411453",
            "telephone_number": "814-319-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 PINEY FOREST RD STE 407",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245402870",
            "telephone_number": "434-799-7732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-18",
        "last_updated": "2017-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "VA",
            "license": "0131001822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keyana Claiborne
• Mykala Denise Clardy
• Christy Marie Clark, AGACNP-BC
• Donovan Deryl Clark, MD
• Jada Nyiesha Clark
• Kanchan Puri Clark, MD
• Nancy Coppic Clark, O.D.
• Tiffany Devon Clark
• Ronald Clarke Jr., LSATP
• Clearview Rehabilitation Services, LLC

• Occupational Therapy Assistant in Danville, VA
• Providers in Danville, VA by specialty
• Occupational Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.

Verify at the official NPI Registry.