Teresa May Clark, MSOT, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

815 Triplett St
Owensboro, KY 42303-3564

Phone

(270) 683-4517

Fax

(270) 852-1491

NPI assigned

Mar 23, 2011

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 identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432080000000",
    "number": "1962701482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9501 HIGHWAY 662",
            "city": "MACEO",
            "state": "KY",
            "postal_code": "423559741",
            "telephone_number": "270-302-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 TRIPLETT ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423033564",
            "telephone_number": "270-683-4517",
            "fax_number": "270-852-1491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "TERESA",
        "middle_name": "MAY",
        "name_prefix": "Mrs.",
        "credential": "MSOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-23",
        "last_updated": "2015-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "184517",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45118379",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Alexander Clark, DPT
• Stacy Ann Clark, APRN
• Stephanie K Clark, M SP ED
• Sydne Justine Clark, M.S., OTR/L
• Tara Clark
• Kristen Danielle Clary, DNP, APRN, FNP-C
• Megan E Clary, OTA
• Debbie Clemens
• Lee Stanton Clore Jr., M.D.
• Heather Christian Clouse, P.A.

• Occupational Therapist in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Occupational Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; 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.