MRS. JILL PAGE CLARK (NPI# 1639351448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639351448 |
| Entity Type | Individual |
| Full Name | MRS. JILL PAGE CLARK |
| Credential | COTA/L |
| Practice Address |
1500 Woodline Drive Raleigh NC 27603-5760 |
| Practice Telephone | 9197730120 |
| Mailing Telephone | 9197730120 |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2007-12-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 4777 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922368075 | Jill M Clark | Speech-Language Pathologist | 147 Trailside Cir, Hiram, GA 30141-3277 | 2012-05-23 |
| 1861777096 | Jill B. Clark | Counselor | 5123 Old Plank Rd, Onondaga, MI 49264-9707 | 2011-10-19 |
| 1174850739 | Jill A Clark | Massage Therapist | 54 C Utica St., Hamilton, NY 13346 | 2009-11-03 |
| 1487179255 | Jill Anne Clark | Social Worker | 401 Broad Street, Johnstown, PA 15906 | 2017-08-13 |
| 1598118648 | Jill Clark | Social Worker | 255 Elk Dr Ste C, Burleson, TX 76028-8691 | 2016-07-13 |
| 1871852681 | Jill Clark | Counselor | 23250 Chagrin Blvd, Suite 425, Beachwood, OH 44122-5470 | 2012-05-14 |
| 1205133246 | Jill Clark | Pharmacist | 1156 Carter Rd, Owensboro, KY 42301-2644 | 2011-02-25 |
| 1407164353 | Jill M Clark | Chiropractor | 401 W Ontario St, Suite 100, Chicago, IL 60654-6957 | 2010-09-14 |
| 1295922052 | Jill Elisabeth Clark | Colon & Rectal Surgery | 1250 E 3900 S, Ste 320, Salt Lake City, UT 84124-1348 | 2007-09-26 |
| 1750573804 | Jill Clark | Social Worker | 10373 Ne Hancock St, Suite 200, Portland, OR 97220-3873 | 2007-08-13 |
| Street Address |
1500 WOODLINE DRIVE |
| City | RALEIGH |
| State | NC |
| Zip Code | 27603-5760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245854736 | Rdu Medical Transportation Group | Non-emergency Medical Transport (VAN) | 3751 Junction Blvd Suite C Raleigh Nc 27603, C, Raleigh, NC 27603 | 2020-06-01 |
| 1275997595 | Run Raleigh Pt, LLC | Physical Therapist | 401 N West Street, Suite 121, Raleigh, NC 27603 | 2016-04-12 |
| 1508256496 | Nneka Ifeoma Hay | Nurse Practitioner | 1390 Capital Boulevard, Raleigh, NC 27603 | 2015-01-29 |
| 1841680220 | Oswald H Ganley | Internal Medicine | 1251 Goode St, The Healing Place of Wake County, Raleigh, NC 27603 | 2015-01-23 |
| 1578979548 | Grishma Ajmera | Pharmacist | 1531 Dormitory Rd, Raleigh, NC 27603 | 2014-07-10 |
| 1699036467 | Brian Ellison | Pharmacist | 401 Glenwood Ave # 101, Raleigh, NC 27603 | 2012-06-07 |
| 1255607610 | Brian Nichols | Specialist/Technologist | 605 Trunecek Circle, Raleigh, NC 27603 | 2012-03-29 |
| 1548532120 | Living With Autism Inc | Home Health | 7401 Denlee Rd, Raleigh, NC 27603 | 2012-01-30 |
| 1417238189 | Crystal Shawnette Yarborough | Counselor | 3040 Hammond Business Pl Suite 105, Va Raleigh II Clinic, Raleigh, NC 27603 | 2011-09-07 |
| 1982906673 | Annie & Khamorah's Place | Home Health | 2917 Fairway Drive, Raleigh, NC 27603 | 2010-12-01 |
| Find all providers in zip 27603 | ||||
| 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 |
|---|---|---|---|---|
| 1265052328 | Vipavee Bartorillo | Occupational Therapy Assistant | 5309 Patuxent Dr, Raleigh, NC 27616-6568 | 2020-04-19 |
| 1497218671 | Michelle Loraine Hixson | Occupational Therapy Assistant | 2722 Spring Forest Rd, Raleigh, NC 27616-1977 | 2019-04-13 |
| 1679042139 | Health & Home Services, Inc. | Occupational Therapy Assistant | 4020 Wake Forest Road, Suite 111, Raleigh, NC 27609-6866 | 2018-11-14 |
| 1508285248 | Lauren Clayton | Occupational Therapy Assistant | 7631 Horizon Line Dr, Apt 1922, Raleigh, NC 27617-8664 | 2014-04-09 |
| 1992142038 | Barbara Leigh Williams | Occupational Therapy Assistant | 1821 Eva Mae Dr, Raleigh, NC 27610-4450 | 2013-05-30 |
| 1992031561 | Richard Dwight Graham | Occupational Therapy Assistant | 3270 Lynn Ridge Dr Apt 2e, Raleigh, NC 27613-8921 | 2009-11-02 |
| 1023198264 | Star Rehabilitation Service, Inc | Occupational Therapy Assistant | 10309 Tanners Mill Pl, Raleigh, NC 27614-7719 | 2006-10-16 |
| 1558975540 | Emily D Clendenin | Occupational Therapy Assistant | 3001 Spring Forest Rd, Raleigh, NC 27616-2815 | 2020-09-07 |
| 1194338053 | Alexiz Piper | Occupational Therapy Assistant | 1500 Sawmill Rd, Raleigh, NC 27615-4320 | 2020-08-28 |
| 1053923896 | Maggie Marie Dicesare | Occupational Therapy Assistant | 4801 Edwards Mill Rd, Raleigh, NC 27612-4417 | 2020-08-22 |
| Find all providers in RALEIGH | ||||
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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.