Organization Active NPI

Complete OT and Ota Services PLLC

  • Occupational Therapist
  • Elmhurst, NY
National Provider Identifier
1053932137
Registry record updated Apr 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
COMPLETE OT AND OTA SERVICES PLLC
Practice address
9131 Queens Blvd Ste 310
Elmhurst, NY 11373-5540
Phone
(718) 424-7856
Fax
(718) 424-6748
NPI assigned
Apr 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Diane Clune
Title
Otr/L CHT Co-Owner
Phone
(631) 834-4027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

9131 Queens Blvd Ste 310
Elmhurst, NY 11373-5540

Mailing address

2545 Hempstead Tpke Ste LL4
East Meadow, NY 11554-2143
Phone (516) 330-2912

Other identifiers 1

IdentifierTypeStateIssuer
11617928OtherCAQH

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL completeoccupationaltherapyservices.com Direct
CONNECT URL completeoccupationaltherapyservices.com

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588204800000",
    "number": "1053932137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2545 HEMPSTEAD TPKE STE LL4",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115542143",
            "telephone_number": "516-330-2912",
            "fax_number": "516-605-0156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9131 QUEENS BLVD STE 310",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735540",
            "telephone_number": "718-424-7856",
            "fax_number": "718-424-6748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE OT AND OTA SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-30",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A",
        "authorized_official_last_name": "CLUNE",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "OTR/L CHT CO-OWNER",
        "authorized_official_telephone_number": "631-834-4027"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11617928",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "completeoccupationaltherapyservices.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2545 Hempstead Tpke Ste Ll4",
            "city": "East Meadow",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115542143",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "completeoccupationaltherapyservices.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "9131 Queens Blvd Ste 310",
            "city": "Elmhurst",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113735540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.