WILLIAM WARREN CLARK (NPI# 1124320692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124320692 |
| Entity Type | Individual |
| Full Name | WILLIAM WARREN CLARK |
| Credential | CTRS |
| Practice Address |
2118 Stagecoach Trl Temple TX 76502-3224 |
| Practice Telephone | 2549319531 |
| Mailing Telephone | 2549319531 |
| Enumeration Date | 2010-12-03 |
| Last Update Date | 2010-12-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225800000X | Recreation Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447819677 | William Eugene Clark | Nurse's Aide | 2869 Howey Rd, Columbus, OH 43224-4028 | 2019-06-11 |
| 1528454154 | William Clark | Specialist/Technologist | 8501 Silverbrook Rd, Lorton, VA 22079-3015 | 2015-04-10 |
| 1639575830 | William Clark | Specialist/Technologist | 7 Reef Rd, Anderson, GU 83901 | 2014-11-15 |
| 1730423278 | William Douglas Clark | Mechanotherapist | 1617 Highway 20 W, Mcdonough, GA 30253-7311 | 2012-11-21 |
| 1487950606 | William D Clark | Massage Therapist | 1160 Lucerne Loop Rd Ne, Winter Haven, FL 33881-9681 | 2011-02-04 |
| 1407093875 | William Todd Clark | Specialist/Technologist, Other | 305 Greenbriar Ct, Otisco, IN 47163-9601 | 2009-01-07 |
| 1922244524 | William J Clark | Technician/Technologist | 3984 Drexel Rd, Pittsburgh, PA 15212-1512 | 2009-01-02 |
| 1023274503 | William Dave Clark | Counselor | 1421 Ossahatchie Creek Rd, Ellerslie, GA 31807-5339 | 2008-08-04 |
| 1598938219 | William Little Clark | Orthopaedic Surgery | 5 Retreat Rd, Augusta, GA 30909-1837 | 2008-04-03 |
| 1245415116 | William J Clark | Pharmacist | 5335 W Genesee St, Suite 20, Camillus, NY 13031-2265 | 2008-01-09 |
| Street Address |
2118 STAGECOACH TRL |
| City | TEMPLE |
| State | TX |
| Zip Code | 76502-3224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710850 | Bih Mobanoe Chi | Pharmacist | 6801 West Adams Avenue, Temple, TX 76502 | 2020-11-06 |
| 1639705403 | Robert David Pompella | Chiropractor | 4805 Stone Ridge Dr, Temple, TX 76502 | 2020-03-12 |
| 1275167488 | Luong Dental, LLC | Dentist | 5297 S. 31st Street, Ste 111, Temple, TX 76502 | 2020-02-26 |
| 1093357931 | Ryan T Stephens Dmd Pllc | Dentist | 5408 W. Adams Suite 102, Temple, TX 76502 | 2019-10-11 |
| 1164071817 | Danyelle Denise Pividori | Licensed Vocational Nurse | 992 Marlandwood Rd, Temple, TX 76502 | 2019-09-05 |
| 1831670652 | Jane Lida Jarosz | Registered Nurse | 99 Marlandwood, Temple, TX 76502 | 2018-08-29 |
| 1043791809 | Elsa Gamban Baker | Licensed Practical Nurse | 5711 Hopkins Dr, Temple, TX 76502 | 2018-08-28 |
| 1659859288 | Laura Bright | Licensed Vocational Nurse | 990 Marlanwood, Temple, TX 76502 | 2018-08-06 |
| 1811489974 | Rockdale Blackhawk, LLC | Clinic/Center | 1909 Sw Hk Dodgen Loop, Temple, TX 76502 | 2018-06-05 |
| 1871094573 | Moc Temple, LLC | Skilled Nursing Facility | 725 Marlandwood Rd., Temple, TX 76502 | 2018-02-27 |
| Find all providers in zip 76502 | ||||
| Taxonomy Code | 225800000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Recreation Therapist |
| A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
| Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609480250 | Shanteria Onyemem | Recreation Therapist | 3811 Glade Hill Ln, Richmond, TX 77407-3244 | 2020-09-01 |
| 1730790387 | Joan R Lamayo-buse | Recreation Therapist | 1853 Yount Cir, San Antonio, TX 78236-1007 | 2020-08-16 |
| 1881202240 | Brittany Danielle Lundeen | Recreation Therapist | 10320 Boulder Ln Apt 1317, Austin, TX 78726-1865 | 2020-07-21 |
| 1750905816 | Ideal Recreational Therapies | Recreation Therapist | 19800 Kenswick Dr Apt 823, Humble, TX 77338-2159 | 2020-06-04 |
| 1184247645 | Joel Stephen Caltrider | Recreation Therapist | 3354 Putnam Flds, Converse, TX 78109-3808 | 2020-05-19 |
| 1396367405 | Caressa Blackman | Recreation Therapist | 5810 Utsa Blvd Apt 4202, San Antonio, TX 78249-4094 | 2020-05-12 |
| 1740801331 | Jasmine Mathew | Recreation Therapist | 15820 Christopher Lane, Frisco, TX 75035 | 2020-05-05 |
| 1083246862 | Meghan Elizabeth Scott | Recreation Therapist | 110 Contour Dr, Kerrville, TX 78028-6202 | 2020-02-10 |
| 1972135168 | Amanda Petri | Recreation Therapist | 1978 Kalli Jo Ln, New Braunfels, TX 78130-1960 | 2020-02-06 |
| 1346871969 | Requel Pace | Recreation Therapist | 4830 Wilson Rd Ste 300-1027, Humble, TX 77396-1971 | 2020-02-01 |
| Find all providers with the same taxonomy | ||||
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| 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.