Cezanne Osana Clarke, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT008489

Practice address

2540 Wiggins St Ste E
Lithonia, GA 30058-4312

Phone

(404) 606-3755

NPI assigned

May 21, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Families Matter Therapies, LLC

  • Speech-Language Pathologist
  • Lithonia, GA
  • NPI 1326352402

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1932774965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 HILLANDALE PARK DR",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300588833",
            "telephone_number": "860-532-8947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 WIGGINS ST STE E",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300584312",
            "telephone_number": "404-606-3755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "CEZANNE",
        "middle_name": "OSANA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-21",
        "last_updated": "2023-04-13",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "121601",
            "primary": false
        },
        {
            "code": "2279H0200X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Home Health",
            "state": "TX",
            "license": "121601",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": "OT008489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lutrease D Chatman, M.S.W.
• Michael Hsin Chen, DMD
• Children's Dentistry of Lithonia LLC
• Childrens Dentistry at Stonecrest
• Circle of Support, Inc.
• Geneve Clarke, RN
• Michelle Clarke, CPT , CNA
• Rasheeda Clarke
• Clinical Steps Mobile Foot Care, LLC
• Jennifer Elain Collins

• Occupational Therapist in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.