Tammy Jane Clarke, OTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

005576-1 Issued in NY

Practice address

420 Gaffney Drive
Jefferson Rehabilitation Center
Watertown, NY 13601

Phone

(315) 788-2730

Fax

(315) 782-6612

NPI assigned

Oct 24, 2006

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

• Mrs. Tammy Jane Pomerville Former name

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841374329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4016 COUNTY ROUTE #24",
            "city": "RUSSELL",
            "state": "NY",
            "postal_code": "13684",
            "telephone_number": "315-347-3093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 GAFFNEY DRIVE",
            "address_2": "JEFFERSON REHABILITATION CENTER",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "13601",
            "telephone_number": "315-788-2730",
            "fax_number": "315-782-6612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "TAMMY",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "OTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "005576-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMMY",
            "last_name": "POMERVILLE",
            "middle_name": "JANE",
            "prefix": "MRS.",
            "credential": "OTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nikole Clark, MS
• Ondrea Clark
• Shana Clark, LPN
• Taylor Clark, PA-C
• Krista Hoisington Clarke, PT, DPT
• Aiesha Clayton
• Cleveland Funeral Home, Inc.
• Todd D Clopper, MD
• David L Clough
• Mandy Clymans, OTA

• Occupational Therapy Assistant in Watertown, NY
• Providers in Watertown, NY by specialty
• Occupational Therapy Assistant in New York

• 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.