Joanne Mary Clark, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

31002417A Issued in IN

Practice address

11889 Tarrynot LN
Carmel, IN 46033-9693

Phone

(317) 504-6628

Fax

(317) 571-8125

NPI assigned

Oct 25, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831274398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11889 TARRYNOT LN",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460339693",
            "telephone_number": "317-504-6628",
            "fax_number": "317-571-8125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11889 TARRYNOT LN",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460339693",
            "telephone_number": "317-504-6628",
            "fax_number": "317-571-8125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "JOANNE",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31002417A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle L Clark, SLP
• Garrett Clark
• Heidi Ringgenberg Clark, MAT, CCC-SLP
• Jasmine Makayla Clark, WRAPAROUND
• Jennifer Clark, PHARM.D
• Kirsten Elizabeth Clark, PTA
• Lisa Marie Clark
• Matthew Clark, O.D.
• Diana Lynn Clarke, LMHC, NCC
• Karin J. Clary, P.A.

• Occupational Therapist in Carmel, IN
• Providers in Carmel, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.