Active NPI
Clinton Leon Belle, OTR
- Occupational Therapist
- Brooklyn, NY
National Provider Identifier
1144973660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 026548
- Practice address
- 500 Dekalb Ave
Ste 401B
Brooklyn, NY 11205-4808 - Phone
- (518) 240-5283
- Fax
- (718) 228-5233
- NPI assigned
- Feb 3, 2022
- Last updated
- Feb 8, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 026548 | NY | Primary |
Addresses
Primary practice location
500 Dekalb Ave
Ste 401B
Brooklyn, NY 11205-4808
Mailing address
648 E 53Rd St
Brooklyn, NY 11203-5916
Phone (347) 998-4151
Other practice location 1
774 Broadway
Brooklyn, NY 11206-5316
Phone (929) 401-6673
Other practice location 2
648 E 53rd St
Brooklyn, NY 11203-5916
Phone (347) 998-4151
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026548 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forward Rehab LLC | Occupational Therapist | Current | Accepting new patients |
| TBHC Physician Services PC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Occupational Therapist
- Brooklyn, NY
- NPI 1609564954
-
- Surgery Physician
- Brooklyn, NY
- NPI 1417183963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644278400000",
"number": "1144973660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "648 E 53RD ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112035916",
"telephone_number": "347-998-4151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 DEKALB AVE",
"address_2": "STE 401B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112054808",
"telephone_number": "518-240-5283",
"fax_number": "718-228-5233"
}
],
"practiceLocations": [
{
"address_1": "774 Broadway",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112065316",
"country_code": "US",
"telephone_number": "929-401-6673",
"fax_number": "718-228-5233",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "648 E 53rd St",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112035916",
"country_code": "US",
"telephone_number": "347-998-4151",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BELLE",
"first_name": "CLINTON",
"middle_name": "LEON",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-02-03",
"last_updated": "2022-02-08",
"certification_date": "2022-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "026548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.