Kelsey Clark, MOT, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC014451 Issued in PA

Practice address

721 N Juniata St
Hollidaysburg, PA 16648-1455

Phone

(814) 317-5507

Fax

(814) 317-5522

NPI assigned

Jun 14, 2016

Last updated

Mar 22, 2019By 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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kids First Affiliated Services

  • Early Intervention Provider Agency
  • Hollidaysburg, PA
  • NPI 1790062719
  NPD (past)
• Procare PT LP

  • Physical Therapist
  • Altoona, PA
  • NPI 1811238744
  NPD (past)

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553212800000",
    "number": "1891145520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 N JUNIATA ST",
            "city": "HOLLIDAYSBURG",
            "state": "PA",
            "postal_code": "166481455",
            "telephone_number": "814-317-5507",
            "fax_number": "814-317-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 N JUNIATA ST",
            "city": "HOLLIDAYSBURG",
            "state": "PA",
            "postal_code": "166481455",
            "telephone_number": "814-317-5507",
            "fax_number": "814-317-5522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Sheraton Dr",
            "address_purpose": "LOCATION",
            "city": "Altoona",
            "state": "PA",
            "postal_code": "166019316",
            "country_code": "US",
            "telephone_number": "814-949-2050",
            "fax_number": "814-949-2051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "KELSEY",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-14",
        "last_updated": "2019-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC014451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Children's Community Care (Children's Community Pediatrics)
• Wen-Min Chuu, M.D.
• Logan Claar, LPN
• Clark Counseling and Consulting LLC
• Dulin W Clark, PH.D.
• Adrian Clayton
• Community Case Management, LLC
• Derik M Comperatore, LSW
• Shawnee M. Coppersmith, RD LDN/LD
• Cornerstone Caregiving East LLC

• Occupational Therapist in Hollidaysburg, PA
• Providers in Hollidaysburg, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.