Regan Clementi, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

19615 Issued in CA

Practice address

9115 E Zayante Rd
Felton, CA 95018-9014

Phone

(630) 636-0367

NPI assigned

Aug 2, 2021

Last updated

Aug 2, 2021By the provider in NPPES

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Playful Strides

  • Occupational Therapist
  • Felton, CA
  • NPI 1922811918
  NPD Authorized official

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1376217547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ANCHORAGE AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950625462",
            "telephone_number": "630-636-0367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9115 E ZAYANTE RD",
            "city": "FELTON",
            "state": "CA",
            "postal_code": "950189014",
            "telephone_number": "630-636-0367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENTI",
        "first_name": "REGAN",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-02",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "19615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Banys
• Samantha Blenderman, DDS
• Boulder Creek Pharmacy Inc (Felton Pharmacy)
• Natalia Bytheway
• Neta Caspi, N.D.
• Lorna Marina Coetzee, CARETAKER
• Dawn Collins, LMFT
• Paula Marie Cordes, CERTIFIED MASSAGE PR
• Abigail Coughlin
• Frederica Crafts, DTCM, DIPL.OM, L.AC

• Pediatric Occupational Therapist in Felton, CA
• Providers in Felton, CA by specialty
• Pediatric Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.