Cara Leanne Clark, MOTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201008898 Issued in MI

Practice address

30801 Jefferson Ave
Saint Clair Shores, MI 48082-1732

Phone

(586) 293-1234

NPI assigned

Jan 14, 2015

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

Other names 1

• Cara Leanne Ruggeri Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Flourishing Lives Inc

  • Occupational Therapist
  • Saint Clair Shores, MI
  • NPI 1699377960
  NPD

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

{
    "created_epoch": "1421193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1932598992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15708 HUNTCLIFF DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480443854",
            "telephone_number": "586-293-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30801 JEFFERSON AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480821732",
            "telephone_number": "586-293-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "CARA",
        "middle_name": "LEANNE",
        "credential": "MOTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-14",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201008898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARA",
            "last_name": "RUGGERI",
            "middle_name": "LEANNE",
            "credential": "MOTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brianna Lynn Cipponeri, LLMSW
• Frances Cirilo, RN
• City of St. Clair Shores
• Clairpointe Family Dental
• Clarity Counseling and Wellness, LLC
• Michelle Clark
• Karen J. Clarke, RPH
• Clear Optical
• Amber Clees
• Kirk Gregory Cleland, MD

• Occupational Therapist in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.