ALYSSA CLARK (NPI# 1407376288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407376288 |
| Entity Type | Individual |
| Full Name | ALYSSA CLARK |
| Other Name | ALYSSA BLEY |
| Credential | OTR/L |
| Practice Address |
802 W Drake Rd Ste 133a Fort Collins CO 80526-5567 |
| Practice Telephone | 9704946449 |
| Practice Fax Number | 9704946447 |
| Mailing Telephone | 9704946449 |
| Mailing Fax Number | 9704946447 |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2017-06-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT.0004991 | CO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619509569 | Alyssa Ann Clark | Specialist/Technologist | 1150 Edina St, Dubuque, IA 52001-4203 | 2020-02-09 |
| 1750931648 | Alyssa Marie Clark | Occupational Therapist | 4605 W Crystal Lake Rd, Mchenry, IL 60050-5484 | 2019-09-13 |
| 1548785900 | Alyssa Clark | Behavioral Analyst | 456 Russellville Rd, Westfield, MA 01085-1180 | 2017-08-07 |
| 1902233083 | Alyssa Nanette Clark | Massage Therapist | 140 N 4th St, East Tower 17th Floor, Louisville, KY 40202-4227 | 2013-10-03 |
| 1891731196 | Alyssa Clark | Speech-Language Pathologist | 9 Lakefield Dr, Marlton, NJ 08053-5321 | 2006-06-22 |
| 1467078766 | Alyssa Clark | Behavior Technician | 6600 W Charleston Blvd Ste 111, Las Vegas, NV 89146-1067 | 2020-06-23 |
| 1003467473 | Alyssa Compton Clark | Community Health Worker | 3857 Martin Way E, Olympia, WA 98506-5268 | 2019-09-26 |
| 1306314521 | Alyssa Clark | Technician/Technologist | 32100 Telegraph Rd Ste 205, Bingham Farms, MI 48025-2454 | 2018-11-06 |
| 1962982223 | Alyssa Marie Clark | Speech-Language Pathologist | 401 Oakwood Blvd, Round Rock, TX 78681-4067 | 2018-08-16 |
| 1154813285 | Alyssa Clark | Behavior Technician | 358 S 700 E Ste B307, Salt Lake City, UT 84102-2161 | 2018-06-04 |
| Street Address |
802 W DRAKE RD STE 133A |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80526-5567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427394774 | Tara Ann Gilbert | Physical Therapist | 802 W Drake Rd Ste 133a, Fort Collins, CO 80526-5567 | 2012-12-13 |
| 1497102404 | Haley Ray | Speech-Language Pathologist | 802 W Drake Rd Ste 133a, Fort Collins, CO 80526-5567 | 2016-05-19 |
| 1578919494 | Holly Gillespie | Occupational Therapist | 802 W Drake Rd Ste 133a, Fort Collins, CO 80526-5567 | 2016-05-10 |
| 1780058024 | Maria Jelinek | Occupational Therapist | 802 W Drake Rd Ste 133a, Fort Collins, CO 80526-5567 | 2015-11-24 |
| 1992179238 | Jayne Gonda | Occupational Therapist | 802 W Drake Rd Ste 133a, Fort Collins, CO 80526-5567 | 2015-11-24 |
| 1679961171 | Debra Hejde | Physical Therapist | 802 W Drake Rd Ste 133a, Fort Collins, CO 80526-5567 | 2015-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831736057 | Jade Elaine Tilley | Behavior Technician | 3005 Ross Drive Apt V #21, Fort Collins, CO 80526 | 2019-12-06 |
| 1073179131 | Jana Marie Carson | Marriage & Family Therapist | 2001 S. Shields St. Bld K, Ft. Collins, CO 80526 | 2019-05-14 |
| 1467922443 | Marshall Hannum | Occupational Therapist | 2312 Limousin Ct., Fort Collins, CO 80526 | 2018-12-03 |
| 1205326634 | Marlene A Baczek | Acupuncturist | 2001 S. Shields, Bldg B, Ste 2, Fort Collins, CO 80526 | 2018-05-10 |
| 1164922852 | James Joseph Reid | Social Worker | 831 Benthaven St., Ft. Collins, CO 80526 | 2018-02-19 |
| 1982113718 | Friends of L'arche Fort Collins | Community/Behavioral Health | 4500 Seneca St Unit 71, Fort Collins, CO 80526 | 2017-09-25 |
| 1578004313 | Jenessa Dyke | Chiropractor | 2531 S Shields St # 2j-h, Fort Collins, CO 80526 | 2017-03-13 |
| 1588102388 | Sarah Klein | Counselor | 1301 Glen Haven Dr, Fort Collins, CO 80526 | 2017-02-01 |
| 1972046530 | Benu Amun-ra | Non-emergency Medical Transport (VAN) | 4779 Skyline Dr, Ft. Collins, CO 80526 | 2016-11-29 |
| 1205280328 | Abigail Depperschmidt | Physical Therapist | 940 Worthington Circle, Fort Collins, CO 80526 | 2016-04-14 |
| Find all providers in zip 80526 | ||||
| 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 |
|---|---|---|---|---|
| 1932707833 | Caitlin Rose Martin | Occupational Therapist | 710 City Park Ave Apt B230, Fort Collins, CO 80521-3448 | 2020-10-13 |
| 1992302962 | Sarah S Beetch | Occupational Therapist | 201 Alder Hall 850 S Mason St, Fort Collins, CO 80523-0001 | 2020-10-02 |
| 1568071223 | Stacey Nichols | Occupational Therapist | 1573 Campus Delivery Colorado State University, Fort Collins, CO 80523-0001 | 2020-07-29 |
| 1790311264 | Shea Mccowen | Occupational Therapist | 201 Alder Hall 850 S Mason St Colorado State University, Fort Collins, CO 80523-0001 | 2020-03-17 |
| 1982236451 | Emily Fawaz | Occupational Therapist | 3137 Eagle Dr, Fort Collins, CO 80526-2815 | 2020-02-12 |
| 1346888658 | Alison Kay Vanskiver | Occupational Therapist | 1532 Haymarket St, Fort Collins, CO 80526-7207 | 2019-12-17 |
| 1972149383 | Haleigh K. Chwirka | Occupational Therapist | 1218 Pomona St Apt Cc, Fort Collins, CO 80521-3701 | 2019-11-20 |
| 1780225896 | Anna Peyton | Occupational Therapist | 2812 Trenton Way, Fort Collins, CO 80526-2298 | 2019-10-01 |
| 1801451166 | Michelle Lynne Brodsky | Occupational Therapist | 2713 Willow Creek Dr, Fort Collins, CO 80525-6151 | 2019-05-02 |
| 1184287609 | Anais Mabell Campbell | Occupational Therapist | 405 Mathews St Unit A, Fort Collins, CO 80524-2909 | 2019-04-19 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80526 |
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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.