Suzanne Ellis Cleary, OT
Individual provider Active NPI Occupational Therapist · New Canaan, CT
NPI 1194265264 · NPPES record last updated Mar 8, 2017
Key facts
- NPI
- 1194265264
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 001536 (CT)
- Practice address
- 3 Farm Road
New Canaan, CT 06840-6698 - Phone
- (203) 594-5200
- Fax
- (203) 594-5412
- NPI assigned
- Mar 8, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Preferred Therapy Outpatient Services, LLC
Practice addresses (Care Compare)
3 Farm Rd
New Canaan, CT 06840-6626
Phone (203) 594-5340
850 Silas Deane Hwy
FL 2
Wethersfield, CT 06109-3440
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230207000829 | CT | Practitioner - Occupational Therapist in Private Practice | 5092187724 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001536 | CT | MD | Adult Psychiatric/Mental Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preferred Therapy Outpatient Services, LLC | Occupational Therapist | Current |
Accepting new patients |
| Preferred Therapy Outpatient Services, LLC | Occupational Therapist | Current |
Accepting new patients |
Locations
3 Farm Rd
New Canaan, CT 06840
Phone (203) 594-5200
850 Silas Deane Hwy
Fl 2
Wethersfield, CT 06109
Phone (860) 610-0400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 001536 | CT | Yes |
Addresses
Primary practice location
3 Farm Road
New Canaan, CT 06840-6698
Mailing address
3 Farm Road
New Canaan, CT 06840-6698
Phone (203) 594-5200
Other providers in New Canaan, CT
- Richard K Chae
- Christina Chang
- Beth Cherico
- Christine Salomon, OT PC
- Rachel H Chung
- Nicole Catherine Coarse
- Coastal Orthopaedics, PC
- Sara L. S. Coca
- Rachel Coder Matthews
- Melissa McLain Coffin
All providers in New Canaan, CT · Occupational Therapist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.