Jamie L. Clark, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT17030 Issued in FL

Practice address

3611 W Gray St
Tampa, FL 33609-1313

Phone

(614) 975-6475

NPI assigned

Feb 14, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jamie L. Cohn Former name

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 and National Provider Directory roles.

• Achieveability Therapy Services

  • Clinic/Center
  • Lutz, FL
  • NPI 1467294355
  NPD (past)
• Achieveability Therapy Services

  • Community/Behavioral Health Agency
  • Lutz, FL
  • NPI 1619398385

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1423872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1962893750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18288 N US HWY 41",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "33549",
            "telephone_number": "813-527-9638",
            "fax_number": "813-867-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 W GRAY ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336091313",
            "telephone_number": "614-975-6475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "JAMIE",
        "middle_name": "L.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-14",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "OH",
            "license": "008500",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT17030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "COHN",
            "middle_name": "L.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dana Clark, AP,DOM
• Danielle Marisa Clark, MA, RMHCI
• Erica J. Clark, PSY.D.
• Gabriel M Clark, MPT
• Glenda S. Clark, LCSW
• Kailey Clark, ARNP-C
• Kali Amara Clark, FNC-C
• Karen K. Clark, M.D.
• Katherine Audrey Clark, MA, LMHC, NCC
• Kimberly Clark

• Occupational Therapist in Tampa, FL
• Providers in Tampa, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; 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.