Active NPI
Clyde Matthew Ranada Labial
- Occupational Therapist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 027637-01
- Practice address
- 1 Nagle Ave
New York, NY 10040-1405 - Phone
- (212) 928-7800
- Fax
- (212) 928-7900
- NPI assigned
- May 1, 2023
- Sex
- Male
- Sole proprietor
- No
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 | 027637-01 | NY | Primary |
Addresses
Primary practice location
1 Nagle Ave
New York, NY 10040-1405
Mailing address
16414 Goethals Ave
Jamaica, NY 11432-1224
Phone (929) 412-9527
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1870 Grand Concourse
FL 3
Bronx, NY 10457-5402
Phone (929) 412-9527
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.73 of 100
- Quality
- 75.36
- Improvement activities
- 40
- Cost
- 71.28
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027637-01 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theradynamics Rehab. PT, OT & SLP, PLLC | Occupational Therapist | Current | Accepting new patients |
| Momentum Physical & Occupational Therapy, PLLC | Occupational Therapist | Current | Accepting new patients |
Locations
1870 Grand Concourse
Fl 2
Bronx, NY 10457
Phone (347) 431-3824
1870 Grand Concourse
Fl 3
Bronx, NY 10457
Phone (347) 205-8280
280 W 231st St
Bronx, NY 10463
Phone (718) 548-1212
18716 Hillside Ave
Jamaica, NY 11432
Phone (718) 206-1288
1 Nagle Ave
New York, NY 10040
Phone (212) 928-7800
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.
-
- Occupational Therapist
- Bronx, NY
- NPI 1053153106
-
- Physical Therapy Clinic/Center
- Bronx, NY
- NPI 1912463399
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682899200000",
"number": "1245928936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16414 GOETHALS AVE",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114321224",
"telephone_number": "929-412-9527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 NAGLE AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100401405",
"telephone_number": "212-928-7800",
"fax_number": "212-928-7900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LABIAL",
"first_name": "CLYDE MATTHEW",
"middle_name": "RANADA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-01",
"last_updated": "2023-05-01",
"certification_date": "2023-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "027637-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.