Individual provider Active NPI

Clinton Leon Belle, OTR

  • Occupational Therapist
  • Brooklyn, NY
National Provider Identifier
1144973660
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
026548 Issued in NY
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
026548NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Forward Rehab LLC Occupational Therapist CurrentSince Apr 30, 2023 Accepting new patients
TBHC Physician Services PC PastSince Jan 1, 2022 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.

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.

Verify at the official NPI Registry.