Individual provider Active NPI

Tammy Gail Cleary, OT

  • Occupational Therapist
  • Westminster, MD
National Provider Identifier
1194074708
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
04829 Issued in MD
Practice address
844 Washington Rd Ste 209
Westminster, MD 21157-6876
Phone
(410) 876-5600
Fax
(410) 876-1623
NPI assigned
Aug 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 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 04829 MD Primary

Addresses

Primary practice location

844 Washington Rd Ste 209
Westminster, MD 21157-6876

Mailing address

11296 Windsor CT
Ijamsville, MD 21754-8812
Phone (240) 285-8963

Other names 1

  • Tammy G Kozmenski Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Tcleary@pivoths.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161214000916 MD Practitioner - Occupational Therapist in Private Practice 8426338237 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Sportscare & Rehab, LLC Occupational Therapist CurrentSince Nov 9, 2016 Accepting new patients
Maryland Sportscare & Rehab LLC Occupational Therapist CurrentSince Nov 9, 2016 Accepting new patients

Locations

25 Main St
Ste A
Reisterstown, MD 21136
Phone (410) 833-8300

501 Fairmount Ave
Ste 302
Towson, MD 21286
Phone (410) 927-8768

844 Washington Rd
Ste 209
Westminster, MD 21157

844 Washington Rd
Ste 101
Westminster, MD 21157

Interoperability endpoints

  • Direct secure messaging: tcleary@pivoths.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1194074708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11296 WINDSOR CT",
            "city": "IJAMSVILLE",
            "state": "MD",
            "postal_code": "217548812",
            "telephone_number": "240-285-8963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 WASHINGTON RD STE 209",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576876",
            "telephone_number": "410-876-5600",
            "fax_number": "410-876-1623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEARY",
        "first_name": "TAMMY",
        "middle_name": "GAIL",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "04829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Tcleary@pivoths.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "844 Washington Rd Ste 209",
            "city": "Westminster",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211576876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TAMMY",
            "last_name": "KOZMENSKI",
            "middle_name": "G",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westminster, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.