Active NPI
Complete OT and Ota Services PLLC
- Occupational Therapist
- Elmhurst, NY
National Provider Identifier
1053932137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11617928 | Other | CAQH |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | completeoccupationaltherapyservices.com | Direct | |
| CONNECT URL | completeoccupationaltherapyservices.com |
National Provider Directory
National Provider DirectoryMember 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.