Active NPIIndividual providerSole proprietor

Mr. Clark Pertain III, OTR/L

Occupational Therapist in Meredith, New Hampshire

NPI Number1619326063
Practice location
238 Daniel Webster Hwy, Meredith, NH 03253-5803
Fax
603-279-7808
Last updated
June 7, 2016

Clark Pertain is an Occupational Therapist based in Meredith, NH. Clark Pertain practices in Meredith, NH and has the professional credentials of OTR/L. The NPI Number for Clark Pertain is 1619326063 and holds a License No. 0988 (NH). The current practice location address for Clark Pertain is 238 Daniel Webster Hwy, Meredith, NH 03253-5803 and can be reached out via phone at 603-279-7208 and via fax at 603-279-7808.

Provider Profile Details

NPI Number
1619326063
Provider Name
Clark Pertain
Credential
OTR/L
Provider Entity Type
Individual
Gender
Male
Address
238 Daniel Webster Hwy, Meredith, NH 03253-5803
Phone Number
603-279-7208
Fax Number
603-279-7808
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 7, 2016
Last Update Date
June 7, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
238 Daniel Webster Hwy
Meredith, NH 03253-5803
Zip
03253-5803
Phone Number
603-279-7208
Fax Number
603-279-7808
Meredith, NH 03253Get directions →

Provider Business Mailing Address Details

Address
238 Daniel Webster Hwy
Meredith, NH 03253-5803
City
Meredith
State
NH
Zip
03253-5803
Phone Number
603-279-7208
Fax Number
603-279-7808

License Information

License Number
0988
License State
NH
Taxonomy
Occupational Therapist · 225X00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Clark Pertain III, OTR/L?

The NPI number of Mr. Clark Pertain III, OTR/L is 1619326063. It was assigned on June 7, 2016 and is currently active in the NPPES registry.

What is the specialty of Mr. Clark Pertain III, OTR/L?

Mr. Clark Pertain III, OTR/L is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in NH under license number 0988.

Where does Mr. Clark Pertain III, OTR/L practice?

The practice location is 238 Daniel Webster Hwy, Meredith, NH 03253-5803. The office can be reached at 603-279-7208 (phone) or 603-279-7808 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619326063 directly on the NPPES registry website.

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