AMANDA CLARK (NPI# 1992257281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992257281 |
| Entity Type | Individual |
| Full Name | AMANDA CLARK |
| Credential | COTA |
| Practice Address |
7146 Bahne Rd Fairview TN 37062 |
| Mailing Address |
7146 Bahne Rd Fairview TN 37062-8207 |
| Practice Telephone | 6154185498 |
| Mailing Telephone | 6154185498 |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2018-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 224Z00000X | Occupational Therapy Assistant | OTP-OTA-LIC-6114 | MT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 224Z00000X | Occupational Therapy Assistant | OTA16750 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 224Z00000X | Occupational Therapy Assistant | OTA.0001097 | CO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 224Z00000X | Occupational Therapy Assistant | 2598 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851680 | Amanda Lou Clark | Technician | 4631 Diana Dr, Diana, WV 26217-8777 | 2020-08-11 |
| 1225666035 | Amanda Louise Clark | Registered Nurse | 10 Mcclennan Banks Dr, Charleston, SC 29425-0001 | 2020-03-28 |
| 1881220226 | Amanda S Clark | Nurse Practitioner | 1115 State St # 4342, Cayce, SC 29033-4342 | 2020-03-17 |
| 1255808085 | Amanda M Clark | Specialist/Technologist | 2301 Timberline Ct Apt F105, Ruston, LA 71270 | 2018-10-30 |
| 1467956003 | Amanda K Clark | Respiratory Therapist, Certified | 1225 Laurel St Ste 219, Columbia, SC 29201-5826 | 2018-03-20 |
| 1578938163 | Amanda Leigh Clark | Occupational Therapy Assistant | 218 Mill Hill Acres Dr, Peterstown, WV 24963-9797 | 2015-12-08 |
| 1043554256 | Amanda J Clark | Physical Therapist | 1312 W Arch Haven Ave Bldg 1320, Suite E, Bloomington, IN 47403-2089 | 2012-11-15 |
| 1770810954 | Amanda J Clark | Specialist/Technologist | 8700 Sheridan Road, Nw, Thornville, OH 43076 | 2009-11-10 |
| 1891967204 | Amanda Bleu Clark | Counselor | 150 Nickerson St Ste 303, Seattle, WA 98109 | 2008-03-25 |
| 1689682205 | Amanda Lou Clark | Obstetrics & Gynecology | 5050 Ne Hoyt St Ste 255, Portland, OR 97213-2982 | 2006-08-03 |
| Street Address |
7146 BAHNE RD |
| City | FAIRVIEW |
| State | TN |
| Zip Code | 37062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740757764 | Advanced Diagnostic Imaging, PC | Internal Medicine | 2340 Fairview Boulevard, Suite 600d, Fairview, TN 37062 | 2018-10-29 |
| 1730680414 | Kjk LLC | Pharmacy | 2340 Fairview Blvd. Suite 300, Fairview, TN 37062 | 2018-02-27 |
| 1740654458 | Nicolette Stephens | Nurse Practitioner | 7130 New Hope Rd, Fairview, TN 37062 | 2015-11-18 |
| 1063849875 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 7100 Hopgood Rd, Fairview, TN 37062 | 2013-10-11 |
| 1710230628 | Phillip Owens | Counselor | 7200 Cumberland Dr, Fairview, TN 37062 | 2012-10-17 |
| 1013290899 | Zachary Neal Alexander | Counselor | 2595 Fairview Blvd, Fairview, TN 37062 | 2011-09-27 |
| 1750608113 | Savita Leanne Fanta | Internal Medicine | 2340 Fairview Blvd Ste 600d, Fairview, TN 37062 | 2010-04-26 |
| 1083818108 | Fairview Medical Center | Family Medicine | 7100 Adams Dr, Fairview, TN 37062 | 2007-06-13 |
| 1689759516 | Teresa Marie Clark | Dental Assistant | 7218 Birch Bark Drive, Fairview, TN 37062 | 2006-10-26 |
| 1386664217 | Shahla S Azhdari | Dentist | 2280 Fairview Blvd, Fairview, TN 37062 | 2006-07-21 |
| Find all providers in zip 37062 | ||||
| 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 |
|---|---|---|---|---|
| 1528455201 | Tiffany Renee Veres | Occupational Therapy Assistant | 900 Manchester Road, Fairview, PA 16415-1703 | 2015-04-21 |
| 1386050029 | Cynthia Albrecht | Occupational Therapy Assistant | 21961 Ne Chinook Way Apt 247, Fairview, OR 97024-8632 | 2014-07-02 |
| 1811168925 | Laurie Anne Mcadam | Occupational Therapy Assistant | 100 Bridge St, Fairview, OR 97024-2666 | 2008-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727043 | Matthew Bronson King | Occupational Therapy Assistant | 1315 Riverbend Dr Apt 109, Kingsport, TN 37664-6004 | 2020-10-13 |
| 1720685613 | Danielle N Hopkins | Occupational Therapy Assistant | 3107 Best Rd, Maryville, TN 37803-2647 | 2020-10-05 |
| 1538775507 | Kayla Renea Ruppe | Occupational Therapy Assistant | 116 Cumberland Street, Wartburg, TN 37887 | 2020-09-16 |
| 1114547569 | Jessica Michelle Trigueiro | Occupational Therapy Assistant | 2060 Durhamville Rd, Ripley, TN 38063-8434 | 2020-04-24 |
| 1326668195 | Taylor Winstead | Occupational Therapy Assistant | 1251 Wesley Dr Ste 141, Memphis, TN 38116-6443 | 2020-04-22 |
| 1558998583 | Jh Pollard | Occupational Therapy Assistant | 2036 Us Hwy Byp S, Trenton, TN 38382 | 2020-03-27 |
| 1689208480 | The Fun In Function LLC | Occupational Therapy Assistant | 5251 Hwy 153 Ste C, Pmb 264, Hixson, TN 37343 | 2020-03-02 |
| 1568095305 | Brianna Mckayla Bradley | Occupational Therapy Assistant | 544 Tall Trees Ln # 544, Nashville, TN 37209-5147 | 2020-02-20 |
| 1376183343 | Jessica Marie Adcock | Occupational Therapy Assistant | 2386 Fallingwater Ln Apt 304, Cordova, TN 38016-7684 | 2020-01-08 |
| 1396382610 | Jason Pack | Occupational Therapy Assistant | 9022 Richfield Ln, Knoxville, TN 37924-4579 | 2019-12-05 |
| 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.