KIMBERLY BLAIR LARK (NPI# 1386175586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386175586 |
| Entity Type | Individual |
| Full Name | KIMBERLY BLAIR LARK |
| Credential | MOTR/L |
| Practice Address |
410 New Bridge St Suite 10-a Jacksonville NC 28540-4739 |
| Practice Telephone | 9103472212 |
| Practice Fax Number | 9103476003 |
| Mailing Telephone | 9103472212 |
| Mailing Fax Number | 9103476003 |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2017-03-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 10384 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
410 NEW BRIDGE ST SUITE 10-A |
| City | JACKSONVILLE |
| State | NC |
| Zip Code | 28540-4739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710930631 | Kamal G Abulsaad | Psychologist | 410 New Bridge St, Sute 9-b, Jacksonville, NC 28540-4739 | 2006-05-19 |
| 1932550712 | Kayla Ann Sampson | Speech-Language Pathologist | 410 New Bridge St, Jacksonville, NC 28540-4739 | 2016-06-23 |
| 1871989756 | Marri Wallace | Speech-Language Pathologist | 410 New Bridge St, Suite 10-a, Jacksonville, NC 28540-4739 | 2015-04-08 |
| 1417355249 | Mary Kathleen Galbraith | Speech-Language Pathologist | 410 New Bridge St, Suite 10-a, Jacksonville, NC 28540-4739 | 2014-12-10 |
| 1700212727 | Kristen Marie Bartold | Physical Therapist | 410 New Bridge St, Suite 10-a, Jacksonville, NC 28540-4739 | 2013-09-23 |
| 1295177509 | Alicia Lynn Nance | Occupational Therapist | 410 New Bridge St, Suite 10-a, Jacksonville, NC 28540-4739 | 2013-07-28 |
| 1245583046 | Danielle Boyer Carson | Occupational Therapist | 410 New Bridge St, Suite 10-a, Jacksonville, NC 28540-4739 | 2012-10-18 |
| 1952663239 | Holly Hoskinson | Speech-Language Pathologist | 410 New Bridge St, Suite 10-a, Jacksonville, NC 28540-4739 | 2012-06-12 |
| 1922368554 | Rebecca Tilson Epperson | Physical Therapist | 410 New Bridge St, Suite 10a, Jacksonville, NC 28540-4739 | 2012-05-16 |
| 1487983870 | Celeste Day | Speech-Language Pathologist | 410 New Bridge St, Suite 10-a, Jacksonville, NC 28540-4739 | 2009-12-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467067785 | Knox Counseling and Consulting, PC | Case Management | 513 New Bridge St-suite 500, Jacksonville, NC 28540 | 2020-09-14 |
| 1629696646 | Mary Ann Caldwell | Counselor | 2496 Northwoods Dr., Jacksonville, NC 28540 | 2020-07-07 |
| 1639793748 | Johnathon T Brewer | Military Health Care Provider | 100 White St, Jacksonville, NC 28540 | 2020-06-04 |
| 1043782899 | Brice Rivra | Military Health Care Provider | Rr 612 Loop Road, Jacsksonvile, NC 28540 | 2018-12-18 |
| 1649768599 | Alexander John Pybus | Student in an Organized Health Care Education/Training Program | White St Bldg As-100, Jacksonville, NC 28540 | 2018-04-26 |
| 1881198182 | Orleiquis Guerra | Military Health Care Provider | Marine Corps Air Station New River Bldg As-100, Jacksonville, NC 28540 | 2018-03-21 |
| 1558864736 | Andrew Louis Monroe | General Practice | As-100 White Street, Jacksonville, NC 28540 | 2018-03-14 |
| 1588183198 | Citizen Community Transport, LLC | Private Vehicle | 220 Foxwood Ct., Jacksonville, NC 28540 | 2017-09-14 |
| 1558886242 | Brandon Jay Smith | Military Health Care Provider | E Street Bldg G770, Camp Lejeune, NC 28540 | 2017-08-03 |
| 1174043244 | Jason Waters | Military Health Care Provider | White St, Bldg As-100, Jacksonville, NC 28540 | 2017-06-21 |
| Find all providers in zip 28540 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and 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 therapists 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, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467050245 | Abigail Faith Moore | Occupational Therapist | 708 Christopher Ct, Jacksonville, NC 28546-5849 | 2020-10-13 |
| 1093324923 | Leigh Ann Curette | Occupational Therapist | 7833 Blackstone River Dr E, Jacksonville, FL 32256-2993 | 2020-07-27 |
| 1992331151 | Jerelyne De Castro Idica | Occupational Therapist | 7801 Point Meadows Dr Unit 1102, Jacksonville, FL 32256-9134 | 2020-03-19 |
| 1265087332 | Thatiana M Howard | Occupational Therapist | 761 Village Center Dr S Apt 227, Jacksonville, FL 32206-1895 | 2019-08-06 |
| 1598310856 | T'erra Dale | Occupational Therapist | 11548 Willet Ct N, Jacksonville, FL 32225-3516 | 2019-08-05 |
| 1710541552 | Kiley Throop | Occupational Therapist | 200 Valencia Dr Ste 160, Jacksonville, NC 28546-6315 | 2019-04-26 |
| 1467912063 | Jacksonville Orthopaedic Institute Inc | Occupational Therapist | 14534 Old Saint Augustine Rd Ste 3220, Jacksonville, FL 32258-2460 | 2019-03-21 |
| 1184181000 | Jeremy Klimek | Occupational Therapist | 910 Assisi Lane, Jacksonville, FL 32233 | 2019-02-27 |
| 1528523917 | Mylee Gamboa | Occupational Therapist | 1334 Iralou Rd, Jacksonville, FL 32254-2224 | 2019-02-10 |
| 1891250049 | Thalia L Honea | Occupational Therapist | 12766 San Jose Blvd, Suite 716 & 717, Jacksonville, FL 32223 | 2019-02-01 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 28540 |
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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.