THERESA CLARK (NPI# 1659520799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659520799 |
| Entity Type | Individual |
| Full Name | THERESA CLARK |
| Credential | C.O.T.A. |
| Practice Address |
2300 Great Lakes Dr Dyer IN 46311-1917 |
| Mailing Address |
612 215th St Dyer IN 46311-1512 |
| Practice Telephone | 2193223555 |
| Mailing Telephone | 2198648826 |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2008-09-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 32001147A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588118665 | Theresa Clark | Licensed Practical Nurse | 6541 Furnace Rd, Ontario, NY 14519-9701 | 2016-08-07 |
| 1003056383 | Theresa Carlisle Clark | Registered Nurse | 1900 Carriage Dr, Phenix City, AL 36867-2116 | 2009-02-26 |
| 1548441710 | Theresa M. Clark | Marriage & Family Therapist | 5 Colony Street, Suites 301/303, Meriden, CT 06451-3272 | 2007-11-16 |
| 1972700912 | Theresa Marie Clark | Counselor | 108 E 12th St, Suite 1, Hays, KS 67601-3668 | 2007-07-02 |
| 1013120948 | Theresa S. Clark | Dietitian, Registered | 530 Noel Ave, Hopkinsville, KY 42240-1386 | 2007-05-07 |
| 1548893506 | Theresa Ann Clark | Nurse Practitioner | 420 N Main St, Middlebury, IN 46540-8985 | 2020-02-18 |
| 1457688384 | Theresa Clark | Marriage & Family Therapist | 1800 Gravenstein Hwy N, Sebastopol, CA 95472-2607 | 2009-11-13 |
| 1104079839 | Theresa Clark | Registered Nurse | 2495 Shreveport Hwy, Pineville, LA 71360-4044 | 2008-10-26 |
| 1104015155 | Theresa L Clark | Psychiatry & Neurology | 777 Bannock St, Denver, CO 80204-4507 | 2007-10-16 |
| 1528104650 | Theresa Ross Clark | Internal Medicine | 2067 W Vista Way, Suite 200, Vista, CA 92083-6031 | 2007-01-29 |
| Street Address |
2300 GREAT LAKES DR |
| City | DYER |
| State | IN |
| Zip Code | 46311-1917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669629143 | Melissa Anne Wellever | Occupational Therapy Assistant | 2300 Great Lakes Dr, Dyer, IN 46311-1917 | 2008-08-26 |
| 1124500897 | Dawn Woodward | Occupational Therapy Assistant | 2300 Great Lakes Dr, Dyer, IN 46311-1917 | 2018-08-30 |
| 1598246340 | James Cunningham | Physical Therapist | 2300 Great Lakes Dr, Dyer, IN 46311-1917 | 2018-08-28 |
| 1871074963 | April Moran | Speech-Language Pathologist | 2300 Great Lakes Dr, Dyer, IN 46311-1917 | 2018-08-27 |
| 1275014375 | Mary Francine Davidson I | Speech-Language Pathologist | 2300 Great Lakes Dr, Dyer, IN 46311-1917 | 2018-08-27 |
| 1477994754 | Hancock Regional Hospital | Skilled Nursing Facility | 2300 Great Lakes Dr, Dyer, IN 46311-1917 | 2013-07-15 |
| 1881844983 | Beth Bender | Occupational Therapy Assistant | 2300 Great Lakes Dr, Dyer, IN 46311-1917 | 2008-09-25 |
| 1144478405 | Tameka Malone | Speech-Language Pathologist | 2300 Great Lakes Dr, Dyer, IN 46311-1917 | 2008-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407338858 | Leena Yousef-diaz | Nurse Practitioner | 1100 Joliet Street Suite #201, Dyer, IN 46311 | 2018-09-02 |
| 1518476639 | Kor Speech Therapy, LLC | Speech-Language Pathologist | 219 Primrose Dr., Dyer, IN 46311 | 2017-09-20 |
| 1861921207 | Derrick Durrah | Counselor | 2615 James Drive, Dyer, IN 46311 | 2017-06-08 |
| 1073962189 | Maria Lule | Pharmacist | 805 Joliet Road, Dyer, IN 46311 | 2016-06-09 |
| 1780072157 | Mario Munoz | Skilled Nursing Facility | 515 Audrey Ct, Dyer, IN 46311 | 2015-01-07 |
| 1457772451 | Lisa Jennifer Mickelson | Registered Nurse | 600 Joliet St., Kahler Middle School, Dyer, IN 46311 | 2013-12-18 |
| 1285055285 | Tanya D Burk-willson | Registered Nurse | 14600 W 81st St., Bibich Elementary, Dyer, IN 46311 | 2013-12-18 |
| 1013338011 | Mary Beth Rinaldi | Registered Nurse | 1121 Harrison Ave, Protsman Elementary, Dyer, IN 46311 | 2013-12-18 |
| 1023448057 | Franciscan Alliance | General Acute Care Hospital | 24 Joliet Street, 3da, Dyer, IN 46311 | 2013-11-12 |
| 1508078239 | Fatima Jaffer Md Sc PC | Internal Medicine | Physicians Pavilion Suite 101, 24 East Joliet Street, Dyer, IN 46311 | 2007-05-04 |
| Find all providers in zip 46311 | ||||
| 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 |
|---|---|---|---|---|
| 1174865828 | Diane M Toren | Occupational Therapy Assistant | 641 211th Pl, Dyer, IN 46311-1409 | 2013-03-20 |
| 1669629143 | Melissa Anne Wellever | Occupational Therapy Assistant | 2300 Great Lakes Dr, Dyer, IN 46311-1917 | 2008-08-26 |
| 1952569329 | Roxanne Marie Sculley | Occupational Therapy Assistant | 544 Briarwood Dr, Dyer, IN 46311-1203 | 2008-06-01 |
| 1821570201 | Ashley Elizabeth Faucault | Occupational Therapy Assistant | 601 Sheffield Ave, Dyer, IN 46311-1167 | 2018-09-03 |
| 1124500897 | Dawn Woodward | Occupational Therapy Assistant | 2300 Great Lakes Dr, Dyer, IN 46311-1917 | 2018-08-30 |
| 1881844983 | Beth Bender | Occupational Therapy Assistant | 2300 Great Lakes Dr, Dyer, IN 46311-1917 | 2008-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538776604 | Tonya Darlene Ross | Occupational Therapy Assistant | 11312 Anderson Lake Dr, Granger, IN 46530-7293 | 2020-09-23 |
| 1528679214 | Carol L Gray | Occupational Therapy Assistant | 7662 Van Buren St, Merrillville, IN 46410-5769 | 2020-08-14 |
| 1811506553 | Laura Chenoweth | Occupational Therapy Assistant | 17219 Foundation Pkwy # 100, Westfield, IN 46074-9805 | 2020-07-29 |
| 1609491414 | Kerry Herndon | Occupational Therapy Assistant | 3715 Union Chapel Rd, Fort Wayne, IN 46845-7400 | 2020-06-08 |
| 1144844416 | Monica Ashley Teller | Occupational Therapy Assistant | 8143 Hohman Ave, Munster, IN 46321-1507 | 2020-06-03 |
| 1316569379 | Sheila Denise Davis | Occupational Therapy Assistant | 2921 W 61st Pl Apt 2g, Merrillville, IN 46410-2260 | 2020-05-13 |
| 1679195705 | Ladonna Lawson | Occupational Therapy Assistant | 816 W 59th Pl Apt A, Merrillville, IN 46410-7614 | 2020-05-12 |
| 1811523244 | Rebecca Darlene Pilgrim | Occupational Therapy Assistant | 902 N Gregg Rd, Connersville, IN 47331-1169 | 2020-03-17 |
| 1871129262 | Scott Heuring | Occupational Therapy Assistant | 1543 Fischrupp Ave, Whiting, IN 46394-2030 | 2020-03-17 |
| 1164056016 | Amy Elizabeth Shreve | Occupational Therapy Assistant | 6434 E Raymond St, Indianapolis, IN 46203-5053 | 2020-03-01 |
| Find all providers with the same taxonomy | ||||
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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.