KRISTEN CLARK (NPI# 1790037463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790037463 |
| Entity Type | Individual |
| Full Name | KRISTEN CLARK |
| Credential | OTR/L |
| Practice Address |
5 Town Square Suite A Chatham NJ 07928 |
| Practice Telephone | 9735079730 |
| Practice Fax Number | 9735079710 |
| Mailing Telephone | 9735079730 |
| Mailing Fax Number | 9735079710 |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2012-10-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
46TR00317000 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447717111 | Kristen Marie Clark | Nurse Practitioner | 1724 W Beach Ave, Chicago, IL 60622-2108 | 2019-02-28 |
| 1598264475 | Kristen Clark | Non-emergency Medical Transport (VAN) | 252 American Spirit Rd, Winter Haven, FL 33880-8102 | 2018-02-07 |
| 1174959910 | Kristen Leigh Clark | Licensed Practical Nurse | 105 Edgewood Ave, Buffalo, NY 14220-1765 | 2013-09-25 |
| 1134385933 | Kristen M Clark | Audiologist | 26224 N Tatum Blvd Ste 14, Phoenix, AZ 85050-7500 | 2008-07-31 |
| 1528670502 | Kristen Clark | Speech-Language Pathologist | 2080 Citygate Dr, Columbus, OH 43219-3591 | 2020-08-20 |
| 1609488568 | Kristen Noelle Clark | Behavior Technician | 16941 N Eagle River Loop Rd, Eagle River, AK 99577-7824 | 2020-08-20 |
| 1023575891 | Kristen Clark | Specialist/Technologist | 537 Union Ave, Grants Pass, OR 97527-5543 | 2019-02-27 |
| 1750884508 | Kristen Clark | Occupational Therapist | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2018-03-16 |
| 1245769850 | Kristen Ann Clark | Physician Assistant | 15 Hospital Center Blvd Ste 1, Hilton Head Island, SC 29926-2760 | 2017-06-07 |
| 1336501964 | Kristen Clark | Nurse Practitioner | 3001 N Rocky Point Dr E, Suite 185, Tampa, FL 33607-5810 | 2016-03-23 |
| Street Address |
5 TOWN SQUARE SUITE A |
| City | CHATHAM |
| State | NJ |
| Zip Code | 07928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942560040 | Carol Joan Billow | Social Worker | 5 Town Square, Chatham, NJ 07928-2568 | 2012-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407410574 | Deborah Conway | Counselor | 10 Fairmount Ave., Chatham, NJ 07928 | 2019-04-24 |
| 1023537438 | Claire Elizabeth Shimchak | Specialist/Technologist | 188 Watchung Ave, Chatham, NJ 07928 | 2017-09-18 |
| 1790165462 | New Neurons Neurosurgical Institute | Neurological Surgery | 32 Summit Ave, Chatham, NJ 07928 | 2015-06-08 |
| 1558769414 | Chatham Hills Subacute Care Center LLC | Skilled Nursing Facility | 17 Heathcliff Road, Chatham, NJ 07928 | 2014-12-09 |
| 1841509940 | Dimitry Polyakov | Physical Therapist | 13 Watchung Ave, Total Physical Therapy, Chatham, NJ 07928 | 2010-10-07 |
| 1851533731 | Robert Richard Springer | Internal Medicine | 18 Birch Hill Drive, Chatham, NJ 07928 | 2009-03-24 |
| 1104071208 | Robert M. Freda | Internal Medicine | 96 Meyersville Road, Chatham, NJ 07928 | 2008-11-18 |
| 1922261510 | Jennifer Brody | Physical Therapist | 7 Bartow Ln, Chatham, NJ 07928 | 2008-07-03 |
| 1720246655 | John Harry Krikorian | Pediatrics | 38 Peppermill Road, Chatham, NJ 07928 | 2008-05-28 |
| 1336269141 | Maryanne Carbone | Social Worker | 100 Noe Ave, Chatham, NJ 07928 | 2007-03-29 |
| Find all providers in zip 07928 | ||||
| Taxonomy Code | 225XP0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Pediatrics |
| Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occupations." Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities. |
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: new] Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary board certification for a Pediatric Occupational Therapist if the applicant meets the following requirements:
|
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912400201 | Kristen Clark Inc. Dba Harmony Pediatric Therapy | Occupational Therapist | 5 Townsquare Ste A, Chatham, NJ 07928-2568 | 2018-03-13 |
| 1336648070 | Deidre L Limongelli | Occupational Therapist | 5 Roosevelt Ave Ste A, Chatham, NJ 07928-2572 | 2018-02-08 |
| 1992321483 | Victoria Crociata | Occupational Therapist | 5 Roosevelt Ave, Chatham, NJ 07928-2572 | 2020-06-19 |
| 1144864018 | Erin Quinn Clementi | Occupational Therapist | 5 Townsquare, Chatham, NJ 07928-2568 | 2019-11-04 |
| 1528492527 | Carrie T Davis | Occupational Therapist | 5 Townsquare, Ste A, Chatham, NJ 07928-2568 | 2013-08-26 |
| 1700133139 | Mara Fran Lieberman | Occupational Therapist | 330 Main St, Chatham, NJ 07928-2238 | 2012-08-03 |
| 1417129511 | Sheila Smith Allen Pediatric Occupational Therapy, Inc. | Occupational Therapist | 330 Main St, Chatham, NJ 07928-2238 | 2008-03-28 |
| 1477730836 | Elizabeth Duffy | Occupational Therapist | 330 Main St, Chatham, NJ 07928-2238 | 2008-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750990800 | Possibilot Pediatrics, LLC | Occupational Therapist | 88 Jackson Ave Apt 411, Edison, NJ 08837-3158 | 2020-07-24 |
| 1952926248 | Elizabeth Rosaria Cerami | Occupational Therapist | 25 Woodview Ave, Fords, NJ 08863-1723 | 2020-06-11 |
| 1437771714 | Penina Golombeck | Occupational Therapist | 215 Passaic Ave Apt 3h, Passaic, NJ 07055-3606 | 2020-05-10 |
| 1235766171 | Laura Lubkin | Occupational Therapist | 55 Madison Ave Ste 320, Morristown, NJ 07960-7337 | 2020-03-23 |
| 1487289963 | Katherine De Chavez | Occupational Therapist | 53 Hutton Rd, Clifton, NJ 07013-3614 | 2020-03-05 |
| 1770117111 | Alejandra Henao | Occupational Therapist | 714 Liberty Ave, Union, NJ 07083-8125 | 2020-02-25 |
| 1265064349 | Time for Me Therapy | Occupational Therapist | 503 Casino Dr, Farmingdale, NJ 07727-3577 | 2020-02-06 |
| 1346871860 | Jessica Simao | Occupational Therapist | 95 W Main St Ste 10, Chester, NJ 07930-2487 | 2020-02-03 |
| 1194362301 | Eriny Mejia | Occupational Therapist | 479 Rte 79, Morganville, NJ 07751-4061 | 2019-12-06 |
| 1083259006 | Smply Ot LLC | Occupational Therapist | 120 Long Hill Dr, Clifton, NJ 07013-2323 | 2019-11-13 |
| 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.