Jamie-Ann N Clark, MOT, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

3140 Finley Rd Ste 400D
Downers Grove, IL 60515-1376

Phone

(331) 775-2813

NPI assigned

Nov 21, 2022

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

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Saint Louis University School of Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tryability LLCGroup PAC ID 9537499272, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Tryability LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Downers Grove, IL
  • NPI 1639635543

  IL

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1992414858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 FINLEY RD STE 400D",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 FINLEY RD STE 400D",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151376",
            "telephone_number": "331-775-2813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "JAMIE-ANN",
        "middle_name": "N",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael John Chutich, DDS
• Richard Tyler Cipriano, LCSW
• Alexandria L Cismesia
• Andrew M. Clark, DDS
• James Ralph Clark, M.D.
• Emily Clarke, APRN
• Theresa Claus, RD, LDN
• Rachael Clauson
• Karenelise Clay, LCSW
• Laquita Clayton

• All providers in Downers Grove, IL
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.