MICHAEL CLARK (NPI# 1508226531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508226531 |
| Entity Type | Individual |
| Full Name | MICHAEL CLARK |
| Credential | OTR/L |
| Practice Address |
13010 Ne 20th St Ste 300 Bellevue WA 98005-2034 |
| Mailing Address |
503 N 43rd St Seattle WA 98103-7203 |
| Practice Telephone | 4256446328 |
| Practice Fax Number | 4256446295 |
| Mailing Telephone | 2062905619 |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2016-03-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT60622837 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215534227 | Michael Clark | Contractor | 1107 Lavender Shade Court, Houston, TX 77073 | 2020-10-02 |
| 1558858464 | Michael Clark | Optometrist | 990 Medical Dr Ste G3, Brigham City, UT 84302 | 2018-04-16 |
| 1740780006 | Michael Ryan Clark | Pharmacist | 556 Northside Drive, Statesboro, GA 30458 | 2018-02-13 |
| 1942715255 | Michael Clark | Physical Medicine & Rehabilitation | 10600 Riverside Drive, Coral Springs, FL 33071-3307 | 2017-12-08 |
| 1386170348 | Michael Clark | Registered Nurse | 317 E 100 N, Price, UT 84501-2504 | 2017-05-11 |
| 1184163982 | Michael Clark | Specialist/Technologist | 19 Second Ave, Auburn, NY 13021-5113 | 2017-02-14 |
| 1356780837 | Michael Clark | Adult Companion | 8305 Concord Dr, Rowlett, TX 75089-2001 | 2013-06-18 |
| 1417394503 | Michael Ray Clark | Pharmacist | 2661 Valleydale Rd, Hoover, AL 35244-2026 | 2013-05-29 |
| 1407143381 | Michael Jeffery Clark | Orthopaedic Surgery | 5671 Peachtree Dunwoody Ste 700, Atlanta, GA 30342-5047 | 2011-06-29 |
| 1700183993 | Michael Brady Clark | Preventive Medicine | 1400 Mckean Rd, Spring House, PA 19477 | 2011-02-24 |
| Street Address |
13010 NE 20TH ST STE 300 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98005-2034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174645691 | Andrea Leah Duffield | Speech-Language Pathologist | 13010 Ne 20th St, Suite 300, Bellevue, WA 98005-2034 | 2007-04-04 |
| 1831614197 | Jessica Danielle Stephens | Behavioral Analyst | 13010 Ne 20th St, Bellevue, WA 98008 | 2017-08-08 |
| 1144756339 | Karen Elizabeth Penewell | Physical Therapist | 13010 Ne 20th St, Ste 300, Bellevue, WA 98005-2034 | 2017-05-07 |
| 1336674902 | Nadia Kabbani | Occupational Therapist | 13010 Ne 20th St, Suite 300, Bellevue, WA 98005-2034 | 2017-04-20 |
| 1639602592 | Elisa Peterson | Psychologist | 13010 Ne 20th St, #300, Bellevue, WA 98005-2034 | 2017-04-07 |
| 1679005342 | Peter Shirey | Behavior Technician | 13010 Ne 20th St, Suite 300, Bellevue, WA 98005-2034 | 2017-03-31 |
| 1497205934 | Sara Gratz | Speech-Language Pathologist | 13010 Ne 20th St, Suite 300, Bellevue, WA 98005-2034 | 2016-10-07 |
| 1477921583 | Chelsea Shamis | Speech-Language Pathologist | 13010 Ne 20th St, Suite 300, Bellevue, WA 98005-2034 | 2015-09-04 |
| 1073980975 | Nancy Underwood | Speech-Language Pathologist | 13010 Ne 20th St, Suite 300, Bellevue, WA 98005-2034 | 2015-08-26 |
| 1427439355 | Nicole Mickelson | Behavioral Analyst | 13010 Ne 20th St, Suite 100, Bellevue, WA 98005-2034 | 2015-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679194161 | Move Well, Be Well Pllc | Clinic/Center | 11900 Ne 1st Street, Suite 3106, Bellevue, WA 98005 | 2020-05-06 |
| 1649899410 | Wen-fang Ku | Acupuncturist | 13555 Bel-red Rd, Suite 110, Bellevue, WA 98005 | 2020-04-13 |
| 1558901801 | Janelle Morris | Behavior Technician | 12729 Northup Way, Suite 9, Bellevue, WA 98005 | 2020-01-14 |
| 1912467234 | Amanda Gallardo | Behavior Technician | 13333 Bel Rd Suite 100, Bellevue, WA 98005 | 2019-03-22 |
| 1639637903 | Oxana I Varvaryuk | Massage Therapist | 606 120th Ave Ne, Suite D104, Bellevue, WA 98005 | 2019-03-06 |
| 1609346246 | Bhavjit Kaur Mangat | Optometrist | 1808 Richards Rd Suite 110, Bellevue, WA 98005 | 2018-11-27 |
| 1386138907 | Amanda Frances Ellis | Dietitian, Registered | 915 118th Ave Se, Attention Alecia Johnson, Ret Physica, Suite 110, Bellevue, WA 98005 | 2018-06-18 |
| 1093227654 | Jinda Chaijinda | Naturopath | 13353 Bel-red Road Suite A105, Bellevue, WA 98005 | 2017-11-03 |
| 1962927038 | Laura Jo Zuker Olsen | Optometrist | 13401 Bel-red Rd Ne, Suite A4 - Bellevue Vision Clinic, Bellevue, WA 98005 | 2017-08-09 |
| 1336678697 | Yong Huang | Massage Therapist | 12505 Bel-red Road, Suite 188, Bellevue, WA 98005 | 2017-06-08 |
| Find all providers in zip 98005 | ||||
| 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 |
|---|---|---|---|---|
| 1346808052 | Washington Luna Care Physical Therapy LLC | Occupational Therapist | 13555 Se 36th St Ste 100, Bellevue, WA 98006-1456 | 2019-05-29 |
| 1750876363 | Premere Rehab LLC | Occupational Therapist | 1115 108th Ave Ne, Bellevue, WA 98004-8655 | 2018-06-26 |
| 1598281933 | Natalie Sierra Allen | Occupational Therapist | 11711 Ne 12th St Ste 2a, Bellevue, WA 98005-2461 | 2017-08-17 |
| 1275991002 | Luisa Yu | Occupational Therapist | 12205 Se 65th St, Bellevue, WA 98006-4411 | 2016-02-08 |
| 1326418955 | Kirsten Larsen | Occupational Therapist | 12224 Ne 8th St Apt 207, Bellevue, WA 98005-2488 | 2015-09-25 |
| 1285002105 | Mitzi Douthit | Occupational Therapist | 3414 Mirror Ln, Bellevue, NE 68123-2357 | 2015-09-09 |
| 1124496070 | Heather Budd | Occupational Therapist | 14715 Bel Red Rd Ste 104, Bellevue, WA 98007-3940 | 2015-09-09 |
| 1558744003 | Katherine Colette Bernard | Occupational Therapist | 14035 Ne 5th St, Bellevue, WA 98007-6900 | 2015-07-01 |
| 1427463249 | Stephanie Carlson | Occupational Therapist | 1820 Hillcrest Dr Ste B, Bellevue, NE 68005-3636 | 2014-07-01 |
| 1376953281 | Tara Jesson | Occupational Therapist | 15251 Se 58th St, Bellevue, WA 98006-5361 | 2014-04-30 |
| Find all providers in BELLEVUE | ||||
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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.