JACOB C CLARK


Address: 7800 W Outer Dr Ste 300, Detroit, MI 48235-3458
Phone: 3133404442

JACOB C CLARK (NPI# 1205468006) 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) 1205468006
Entity Type Individual
Full Name JACOB C CLARK
Practice Address 7800 W Outer Dr Ste 300
Detroit
MI 48235-3458
Mailing Address 27085 Gratiot Ave Ste 101
Roseville
MI 48066-2984
Practice Telephone 3133404442
Mailing Telephone 5862045560
Enumeration Date 2020-02-10
Last Update Date 2020-02-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 224Z00000X Occupational Therapy Assistant 52002008500 MI Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers JACOB CLARK

NPI Name Taxonomy Address Enumeration
1760049068 Jacob David Clark Optometrist 4800 Whitesburg Dr Sw, Huntsville, AL 35802-1698 2019-05-22
1437512613 Jacob Tyler Clark Emergency Medicine 1035 Kepler Dr, Green Bay, WI 54311-8320 2016-04-04
1164464806 Jacob A Clark Ophthalmology 411 N Washington St, Alexandria, VA 22314-2311 2006-06-10
1003864620 Jacob Scott Clark Chiropractor 854c Kaliste Saloom Rd, Lafayette, LA 70508-4210 2006-05-05
1629695663 Jacob Alan Clark Specialist/Technologist 101 College Hts, Cisco, TX 76437-1900 2020-06-25
1093282410 Jacob Zachary Clark Nurse Anesthetist, Certified Registered 3705 Medical Pkwy Ste 570, Austin, TX 78705-1024 2018-10-24
1568956621 Jacob Clark Dentist 203 S Cherry St, Greenville, KY 42345-1225 2018-06-21
1093206773 Jacob Earl Clark Specialist/Technologist 116 S Lane St, Blissfield, MI 49228-1206 2018-05-29
1487009957 Jacob Clark Technician, Other 501 S Chipeta Way, Salt Lake City, UT 84108-1222 2016-05-03
1871735167 Jacob Andrew Clark Anesthesiology 41 Mall Rd, Lahey Hospital and Medical Center, Burlington, MA 01805-0001 2009-04-01

Office Location

Street Address 7800 W OUTER DR STE 300
City DETROIT
State MI
Zip Code 48235-3458

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629233952 Sandra Duque Social Worker 7800 W Outer Dr Ste 300, Detroit, MI 48235-3458 2008-07-25
1598372187 Marykelly Wallace Occupational Therapist 7800 W Outer Dr Ste 300, Detroit, MI 48235-3458 2020-09-28
1124633003 Shannon Jessica Jason Case Manager/Care Coordinator 7800 W Outer Dr Ste 300, Detroit, MI 48235-3458 2020-09-09
1518577121 Sarah Downey Occupational Therapist 7800 W Outer Dr Ste 300, Detroit, MI 48235-3458 2020-08-07
1548878408 Andrea Lynne Schmitt Speech-Language Pathologist 7800 W Outer Dr Ste 300, Detroit, MI 48235-3458 2020-07-16
1124646310 Torey M. Mcnally Speech-Language Pathologist 7800 W Outer Dr Ste 300, Detroit, MI 48235-3458 2020-07-14
1750912416 Janice Nicole Tillmon Social Worker 7800 W Outer Dr Ste 300, Detroit, MI 48235-3458 2020-01-31
1104469303 Sherisa Renell Mcdonald Psychologist 7800 W Outer Dr Ste 300, Detroit, MI 48235-3458 2019-10-21
1558915744 William Newman Contractor 7800 W Outer Dr Ste 300, Detroit, MI 48235-3458 2019-07-26
1386203552 Lewis Anthony Stonewall Community Health Worker 7800 W Outer Dr Ste 300, Detroit, MI 48235-3458 2019-06-11
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457976292 Ali Nauman Khan Student in an Organized Health Care Education/Training Program Detroit Medical Center-sinai Grace Hospital, 6071 W. Outer Driver, Detroit, MI 48235 2020-06-08
1629690565 Faseeha Arshad Gondal Student in an Organized Health Care Education/Training Program Detroit Medical Center Sinai Grace Hospital, 6071 Outer Dr W. Detroit, Mi 48235, United States, Detroit, MI 48235 2020-05-14
1902428832 Muhanad Abou Touk Student in an Organized Health Care Education/Training Program Dmc - Sinai Grace Hospital, Department of Internal Medi, 6071, W. Outer Drive, Detroit, MI 48235 2020-05-14
1780206730 Ahmad Mismar Student in an Organized Health Care Education/Training Program Detroit Medical Center - Sinai Grace Hospital, Departme, 6071 West Outer Drive, Detroit, MI 48235 2020-05-13
1023630589 Joao Paulo Fontana Bragagnollo Student in an Organized Health Care Education/Training Program 6071 W Outer Drive-sinai Grace Hospital, Department of Medicine 4th Floor M-406, Detroit, MI 48235 2020-05-07
1881216216 Mohammad Awad Jaber Student in an Organized Health Care Education/Training Program 6071 W. Outer Drive, Dmc Sinai-grace Hospital, Detroit, MI 48235 2020-05-07
1366064818 Syeda Busmah Owais Student in an Organized Health Care Education/Training Program 6071 Outer Drive, Sinai Grace Hospital, Department of I, Detroit, MI 48235 2020-05-07
1184245680 Sushmitha Nanja Reddy Student in an Organized Health Care Education/Training Program Detroit Medcen Sinai Grace Hospital Dpt of Internal Med, 6071 W Outer Drive, Detroit, MI 48235 2020-05-06
1972164796 Jack Phillip Tomen Student in an Organized Health Care Education/Training Program Sinai - Grace Hospital, 6071 Outer Drive W, Department of Medicine - 4 Main, Detroit, MI 48235 2019-06-24
1346809464 Anusha Bapatla Student in an Organized Health Care Education/Training Program 4 Main, 6071 West Outer Drive, Sinai-grace Hospital, Department of Internal Medicine, Detroit, MI 48235 2019-06-12
Find all providers in zip 48235

Taxonomy Information

Taxonomy Code 224Z00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapy Assistant

Taxonomy Definition

An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, source changed]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356941199 Juanita Samantha Williams Occupational Therapy Assistant 6837 Grandville Ave, Detroit, MI 48228-3984 2020-10-30
1881139947 Debra Jackson Occupational Therapy Assistant 13129 Elmdale St, Detroit, MI 48213-1900 2016-12-28
1093100315 Rosalind Malone Occupational Therapy Assistant 16866 Collingham Dr, Detroit, MI 48205-1512 2015-04-02
1467794172 Chrishaun Harris Occupational Therapy Assistant 19470 Lesure, Detroit, MI 48235 2013-03-20
1215146048 Vangie Ann Jones Occupational Therapy Assistant 15603 Lappin St, Detroit, MI 48205-2531 2007-05-21
1588767966 Lynda T Cunningham Occupational Therapy Assistant 48208 W Grand Blvd, Detroit, MI 48208-1105 2006-09-07
1427676139 Susan L Williams Occupational Therapy Assistant 2295 Chene, Detroit, MI 48207 2020-07-09
1619448784 Starmain Frances Lewis Occupational Therapy Assistant 882 Oakman Blvd, Detroit, MI 48238-3710 2018-12-16
1427557537 Teresa Ann Fairgood Occupational Therapy Assistant 19100 W 7 Mile Rd, Detroit, MI 48219-2758 2018-02-04
1952825317 Tamara R Newman Occupational Therapy Assistant 101 E Alexandrine St, Detroit, MI 48201-2011 2017-07-27
Find all providers in DETROIT

Competitor

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City DETROIT
Zip Code 48235

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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.

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