Active NPI
Des'Ree McCloud, MOT
- Occupational Therapist
- Boyertown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC019801
- Practice address
- 137 Montgomery Ave Ste 205
Boyertown, PA 19512-1300 - Phone
- (484) 658-3150
- NPI assigned
- Jul 24, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | OC019801 | PA | Primary |
Addresses
Primary practice location
137 Montgomery Ave Ste 205
Boyertown, PA 19512-1300
Mailing address
PO Box 932184
Atlanta, GA 31193-2184
Phone (856) 678-3484
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250618001415 | PA | Practitioner - Occupational Therapist in Private Practice | 5193236974 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- H2 Rehabilitation Extension Services LLC
Practice addresses (Care Compare)
137 Montgomery Ave
Suite 205
Boyertown, PA 19512-1300
Phone (484) 658-3150
7 S New St
Suite 1
Nazareth, PA 18064-2225
Phone (610) 755-8634
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H2 Rehabilitation Extension Services, LLC | Current | Accepting new patients | |
| H2 Rehabilitation Extension Services LLC | Occupational Therapist | Current | Accepting new patients |
| H2 Rehabilitation Extension Services, LLC | Current | Accepting new patients | |
| H2 Rehabilitation Extension Services, LLC | Past | Accepting new patients |
Locations
137 Montgomery Ave
Ste 205
Boyertown, PA 19512
Phone (484) 658-3150
7 S New St
Ste 1
Nazareth, PA 18064
Phone (610) 755-8634
Organizations & group practices 6
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.
-
- Rehabilitation Clinic/Center
- Nazareth, PA
- NPI 1457706822
PA
-
- Physical Therapist
- Collierville, TN
- NPI 1841180155
Occupational Therapist
-
- Rehabilitation Clinic/Center
- Boyertown, PA
- NPI 1780039149
-
- Rehabilitation Clinic/Center
- Milton, PA
- NPI 1699215806
-
- Rehabilitation Clinic/Center
- Arvada, CO
- NPI 1467389494
-
- Rehabilitation Clinic/Center
- Williamsport, PA
- NPI 1740635127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721779200000",
"number": "1306674064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 932184",
"city": "ATLANTA",
"state": "GA",
"postal_code": "311932184",
"telephone_number": "856-678-3484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "137 MONTGOMERY AVE STE 205",
"city": "BOYERTOWN",
"state": "PA",
"postal_code": "195121300",
"telephone_number": "484-658-3150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLOUD",
"first_name": "DES'REE",
"credential": "MOT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-24",
"last_updated": "2024-07-24",
"certification_date": "2024-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC019801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boyertown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.