MS. REBECCA-KELLY GRANT CLARK


Address: 3101 Sw Sam Jackson Park Rd, Portland, OR 97239-3095
Phone: 5032213429

MS. REBECCA-KELLY GRANT CLARK (NPI# 1104396589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104396589
Entity Type Individual
Full Name MS. REBECCA-KELLY GRANT CLARK
Credential OTR/L
Practice Address 3101 Sw Sam Jackson Park Rd
Portland
OR 97239-3095
Practice Telephone 5032213429
Practice Fax Number 5032943240
Mailing Telephone 5032213429
Mailing Fax Number 5032943240
Enumeration Date 2018-11-28
Last Update Date 2018-11-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225XP0200X Occupational Therapist
Specialization: Pediatrics
275015 OR Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 3101 SW SAM JACKSON PARK RD
City PORTLAND
State OR
Zip Code 97239-3095

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710968375 Brookley Valentine Holter Physician Assistant 3101 Sw Sam Jackson Park Rd, Shriner's Hospital for Children, Portland, OR 97239 2005-11-10
1932743127 Sarah Virginia Lowe Dietitian, Registered 3101 Sw Sam Jackson Park Rd, Portland, OR 97239-3095 2019-10-31
1548802960 Richard Hannan Student in an Organized Health Care Education/Training Program 3101 Sw Sam Jackson Park Rd, Portland, OR 97239-3009 2019-10-17
1558902262 Janan Chandrananth Student in an Organized Health Care Education/Training Program 3101 Sw Sam Jackson Park Rd, Portland, OR 97239-3009 2019-10-03
1245893007 Elizabeth Ann Mandel Nurse Practitioner 3101 Sw Sam Jackson Park Rd, Portland, OR 97239-3095 2019-04-17
1336629294 Joel Hamilton Cowley Physical Therapist 3101 Sw Sam Jackson Park Rd, Portland, OR 97239-3009 2018-08-20
1104314350 Shriners Hospitals for Children Anesthesiology 3101 Sw Sam Jackson Park Rd, Portland, OR 97239-3009 2018-04-24
1356863765 Stephen Arran Butler Student in an Organized Health Care Education/Training Program 3101 Sw Sam Jackson Park Rd, Portland, OR 97239-3009 2017-07-07
1023547015 Lucas Enen Annabell Student in an Organized Health Care Education/Training Program 3101 Sw Sam Jackson Park Rd, Portland, OR 97239-3009 2017-06-05
1255873535 Seth Michael Tarrant Student in an Organized Health Care Education/Training Program 3101 Sw Sam Jackson Park Rd, Portland, OR 97239-3009 2016-11-17
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558979468 Elise Caitlin Esposito Student in an Organized Health Care Education/Training Program 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 2020-07-16
1750908844 Will Cowan Student in an Organized Health Care Education/Training Program 455 Sw Us Veterans Hospital Road., Portland, OR 97239 2020-07-06
1881219657 Desiree Baer Licensed Vocational Nurse Sw Us Veterans Hospital Rd, Portland, OR 97239 2020-06-08
1285266205 Melissa Irene Wheeler Registered Nurse Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 2020-02-07
1225687981 Pheba Mariam Jones Pharmacist Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 2019-09-05
1801448063 Alice Huang Huang Student in an Organized Health Care Education/Training Program 3710 Sw Veterans Road, Portland, OR 97239 2019-07-09
1710446273 Ellen Noreen Kessi Social Worker 3710 Sw Us Veterans Rd., Portland, OR 97239 2019-03-14
1508335704 Jacqueline Marie Mular Marriage & Family Therapist 5550 Sw Macadam Suite 100, Portland, OR 97239 2018-11-16
1275030926 Carly Elizabeth Dougher Student in an Organized Health Care Education/Training Program Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 2018-04-10
1780188094 Dennis John Samuel Student in an Organized Health Care Education/Training Program Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 2018-03-21
Find all providers in zip 97239

Taxonomy Information

Taxonomy Code 225XP0200X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist
Specialization Pediatrics

Taxonomy Definition

Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occupations." Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities.
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: new] Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary board certification for a Pediatric Occupational Therapist if the applicant meets the following requirements:
  • Professional degree or equivalent in occupational therapy.
  • Certified or licensed by and in good standing with an AOTA recognized credentialing or regulatory body.
  • Minimum of 5 years of practice as an occupational therapist.
  • Minimum of 5,000 hours of experience as an occupational therapist in the certification area in the last 7 calendar years.
  • Minimum of 500 hours of experience delivering occupational therapy services in the certification area to clients (individuals, groups, or populations) in the last 5 calendar years. Service delivery may be paid or voluntary.
  • Verification of employment.
AOTA Specialized Knowledge and Skills Paper: Occupational Therapy Practice in the Neonatal Intensive Care Unity (2006); AOTA Fact Sheets: Children and the Tsunami, OT for Children Birth to 3 Years of Age, OT's Role with Autism, OT in Educational Settings Under the Individuals with Disabilities Education Act, Transforming Caseload to Workload in School Based and Early Intervention OT Services, OT in Preschool Settings.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083220321 Jessica Dawn Young Occupational Therapist 5200 S Macadam Ave, Portland, OR 97239-6103 2020-09-22
1003422585 Steps 2 Grow LLC Occupational Therapist 2870 Nw Cornell Rd, Portland, OR 97210-2421 2020-09-19
1912541954 Mary Alison O'connell Occupational Therapist 3226 Sw Mitchell Ct, Portland, OR 97239-1261 2019-11-02
1063966463 Cara Lee Occupational Therapist 1828 Sw 18th Ave, Apt 9, Portland, OR 97201-2598 2016-08-15
1902265218 Suzanne Ciccomancini Occupational Therapist 80 Fall Brook St, Portland, ME 04103-4225 2016-02-15
1235509647 Nicholas Horton Occupational Therapist 737 Ne Schuyler St, Portland, OR 97212-3924 2015-09-28
1336555119 Austen Lincoln Occupational Therapist 4407 Sw Stephenson St, Portland, OR 97219-7107 2014-07-01
1154741221 Ashley York Occupational Therapist 125 Presumpscot Street, Portland, ME 04103 2014-04-16
1851615751 Advanced Pediatric Therapies Occupational Therapist 4444 Sw Multnomah Blvd, Portland, OR 97219-3558 2010-03-22
1992995807 Sheryl Ann Riley Occupational Therapist 5115 Se 38th Ave, Portland, OR 97202-4203 2007-07-26
Find all providers in PORTLAND

Competitor

Search similar providers

City PORTLAND
Zip Code 97239

Improve Information

Please comment or provide details below to improve the information on MS. REBECCA-KELLY GRANT CLARK.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches