CLARK UPTON (NPI# 1215280599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215280599 |
| Entity Type | Individual |
| Full Name | CLARK UPTON |
| Credential | COTA/L |
| Practice Address |
302 N 2nd St Bridgewater VA 22812-1712 |
| Practice Telephone | 5408283738 |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2012-10-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 0131000288 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
302 N 2ND ST |
| City | BRIDGEWATER |
| State | VA |
| Zip Code | 22812-1712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356346274 | Bridgewater Home, Inc. | Skilled Nursing Facility | 302 N 2nd St, Bridgewater, VA 22812-1712 | 2005-06-16 |
| 1164900692 | Kaitlyn Remnant | Physical Therapist | 302 N 2nd St, Bridgewater, VA 22812-1712 | 2018-08-06 |
| 1982111993 | Mary Grace Davy | Occupational Therapy Assistant | 302 N 2nd St, Bridgewater, VA 22812-1712 | 2017-12-29 |
| 1427574037 | Antoinette Marie Rossi-miller | Physical Therapy Assistant | 302 N 2nd St, Bridgewater, VA 22812-1712 | 2017-08-15 |
| 1720503683 | Dorothy Marie Dooley | Physical Therapist | 302 N 2nd St, Bridgewater, VA 22812-1712 | 2017-08-11 |
| 1619361615 | Christopher Rathbun | Occupational Therapist | 302 N 2nd St, Bridgewater, VA 22812-1712 | 2015-03-27 |
| 1629481478 | Mary Dutcher Lambert | Physical Therapy Assistant | 302 N 2nd St, Bridgewater, VA 22812-1712 | 2014-06-10 |
| 1154764710 | Charles Lee Baker | Physical Therapist | 302 N 2nd St, Bridgewater, VA 22812-1712 | 2013-04-14 |
| 1417201518 | Denise E Brill | Occupational Therapist | 302 N 2nd St, Bridgewater, VA 22812-1712 | 2012-10-29 |
| 1740480466 | Ashley Marner Poe | Physical Therapy Assistant | 302 N 2nd St, Bridgewater, VA 22812-1712 | 2007-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225637242 | Hastings Healthcare, LLC | General Practice | Hastings Medical Clinic of Bridgewater, 110 North Main Street Suite A, Bridgewater, VA 22812 | 2020-10-21 |
| 1316469687 | Jasmine Taylor Pinder | Specialist/Technologist | 402 East College Street, Bridgewater, VA 22812 | 2017-07-08 |
| 1548643547 | Gail E. Reese | Behavioral Analyst | 5630 Glade View Drive, Bridgewater, VA 22812 | 2015-07-08 |
| 1992915557 | Richard M. Smith | Dentist | 100 Parkside Drive, Bridgewater, VA 22812 | 2007-05-23 |
| 1003914144 | Donald Richard Bell | Chiropractor | 102 E College St, Bridgewater, VA 22812 | 2006-09-20 |
| 1871534933 | Jonathan David Moss | Family Medicine | 100 Health Center Dr, Bridgewater, VA 22812 | 2006-06-09 |
| 1104472869 | Ke'ara Denae Tucker | Student in an Organized Health Care Education/Training Program | 402 E College St, Bridgewater, VA 22812 | 2019-08-16 |
| 1265957864 | Shelby Paige Gregory | Specialist/Technologist | 402 E College St, Bridgewater, VA 22812 | 2017-08-04 |
| 1104341841 | Maria Rector | Specialist/Technologist | 402 E College St, Bridgewater, VA 22812 | 2017-08-03 |
| 1225112402 | Bridgewater Chiropractic Center | Chiropractor | 102 E College St, Bridgewater, VA 22812 | 2006-10-25 |
| Find all providers in zip 22812 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730433145 | Richard Jerryl Gopen | Occupational Therapy Assistant | 3 Meadow Ln, #7, Bridgewater, MA 02324-8103 | 2012-11-07 |
| 1982111993 | Mary Grace Davy | Occupational Therapy Assistant | 302 N 2nd St, Bridgewater, VA 22812-1712 | 2017-12-29 |
| 1447786538 | Lori Ochten | Occupational Therapy Assistant | 111 Finderne Ave, Bridgewater, NJ 08807-3100 | 2017-05-10 |
| 1851743132 | Udoka Ume | Occupational Therapy Assistant | 111 Finderne Ave, Bridgewater, NJ 08807-3100 | 2016-07-11 |
| 1770828725 | Natasha Carita | Occupational Therapy Assistant | 100 Monroe St, Bridgewater, NJ 08807-5002 | 2012-12-03 |
| 1841434834 | Tara Plante | Occupational Therapy Assistant | 470 Pine St, Bridgewater, MA 02324-2112 | 2009-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780284109 | Erika Renea Clark | Occupational Therapy Assistant | 12005 Teakwood Ct, Bristol, VA 24202-3531 | 2020-10-26 |
| 1548879711 | Kasey Lynn Sydnor | Occupational Therapy Assistant | 120 Green Spring Rd, Winchester, VA 22603-2739 | 2020-07-23 |
| 1619596459 | Taylor Duncan | Occupational Therapy Assistant | 703 Glenhaven Ct, North Chesterfield, VA 23236-2518 | 2020-04-12 |
| 1487295861 | Dawn Bullins | Occupational Therapy Assistant | 114 East Main St, Fries, VA 24330 | 2019-10-07 |
| 1194366773 | Haley Hannon | Occupational Therapy Assistant | 477 Chamberlain Ln, Salem, VA 24153-4056 | 2019-10-04 |
| 1588211817 | Jane Adele Seymour | Occupational Therapy Assistant | 2226 Hurricane Creek Rd, Vansant, VA 24656-7668 | 2019-08-21 |
| 1023662772 | Marion Daley | Occupational Therapy Assistant | 7941 Arbor Ponds Ter, New Kent, VA 23124-2462 | 2019-07-31 |
| 1316507650 | Tanyelle Sandifer | Occupational Therapy Assistant | 4312 Bridle Run Ln, Richmond, VA 23223-2299 | 2019-06-18 |
| 1407415110 | Amanda Danielle Perkins | Occupational Therapy Assistant | 331 Gardner Road, Honaker, VA 24260 | 2019-06-07 |
| 1447713714 | Amanda O. Baker | Occupational Therapy Assistant | 5223 Victoria St Nw, Roanoke, VA 24017-4209 | 2019-04-12 |
| Find all providers with the same taxonomy | ||||
| City | BRIDGEWATER |
| Zip Code | 22812 |
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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.