Active NPI
Taylor McLear
- Occupational Therapist
- Ogdensburg, NY
National Provider Identifier
1598274581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 021636
- Practice address
- 100 Ford St
Ogdensburg, NY 13669 - Phone
- (315) 394-0657
- NPI assigned
- Sep 22, 2017
- 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 | 021636 | NY | Primary |
Addresses
Primary practice location
100 Ford St
Ogdensburg, NY 13669
Mailing address
247 McFadden Rd
Lisbon, NY 13658-3284
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598274581 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021636 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1598274581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "247 MCFADDEN RD",
"city": "LISBON",
"state": "NY",
"postal_code": "136583284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 FORD ST",
"city": "OGDENSBURG",
"state": "NY",
"postal_code": "13669",
"telephone_number": "315-394-0657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLEAR",
"first_name": "TAYLOR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-22",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "021636",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1598274581",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ogdensburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.