Ruth Clarkson

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

6989-1 Issued in NY

Practice address

850 Main St
Holbrook, NY 11741-1604

Phone

(516) 652-4875

NPI assigned

Mar 14, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695427200000",
    "number": "1174656318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 BAYBERRY CT",
            "city": "HOLTSVILLE",
            "state": "NY",
            "postal_code": "117422523",
            "telephone_number": "516-652-4875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 MAIN ST",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117411604",
            "telephone_number": "516-652-4875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Snedecor Ave",
            "address_purpose": "LOCATION",
            "city": "Bayport",
            "state": "NY",
            "postal_code": "117051720",
            "country_code": "US",
            "telephone_number": "516-652-4875",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 Mill Ln",
            "address_purpose": "LOCATION",
            "city": "Farmingdale",
            "state": "NY",
            "postal_code": "117355505",
            "country_code": "US",
            "telephone_number": "516-652-4875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARKSON",
        "first_name": "RUTH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2023-09-23",
        "certification_date": "2023-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "6989-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Holbrook, NY
• Pediatric Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2023; 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.