Individual provider Active NPI

Clarease Robinson, OTR/L

  • Specialist
  • Gary, IN
National Provider Identifier
1487830485
Registry record updated Dec 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
31001112A Issued in IN
Practice address
6100 Miller Ave
Gary, IN 46403-2469
Phone
(219) 427-0196
Fax
(219) 427-0197
NPI assigned
Jan 21, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 31001112A IN Primary

Addresses

Primary practice location

6100 Miller Ave
Gary, IN 46403-2469

Mailing address

6100 Miller Ave
Gary, IN 46403-2469
Phone (219) 427-0196

Other names 1

  • Mrs. Clarease Sanders Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080527000560 IN Practitioner - Occupational Therapist in Private Practice 4688743040 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Restore Therapy Services LLC CurrentSince Jun 13, 2011 Accepting new patients
Next Level Therapeutic Services LLP PastSince Jan 3, 2008 Accepting new patients

Locations

6100 Miller Ave
Gary, IN 46403
Phone (219) 427-0196

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": "1200873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482364800000",
    "number": "1487830485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 MILLER AVE",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464032469",
            "telephone_number": "219-427-0196",
            "fax_number": "219-427-0197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 MILLER AVE",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464032469",
            "telephone_number": "219-427-0196",
            "fax_number": "219-427-0197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "CLAREASE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-21",
        "last_updated": "2016-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "31001112A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLAREASE",
            "last_name": "SANDERS",
            "prefix": "MRS.",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gary, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; 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.