Active NPI
Clyde Hamilton Bell Jr., OTR
- Occupational Therapist
- Gainesville, FL
National Provider Identifier
1710258512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT3144
- Practice address
- 3545 NW 46TH Ter
Gainesville, FL 32606-7209 - Phone
- (352) 372-5789
- NPI assigned
- Jan 25, 2012
- Sex
- Male
- 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 | OT3144 | FL | Primary |
Addresses
Primary practice location
3545 NW 46TH Ter
Gainesville, FL 32606-7209
Mailing address
3545 NW 46TH Terrace
Gainesville, FL 32606-7209
Phone (352) 372-5789
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 |
|---|---|---|---|
| OT3144 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327449600000",
"number": "1710258512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3545 NW 46TH TERRACE",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326067209",
"telephone_number": "352-372-5789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3545 NW 46TH TER",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326067209",
"telephone_number": "352-372-5789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELL",
"first_name": "CLYDE",
"middle_name": "HAMILTON",
"name_suffix": "Jr.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-25",
"last_updated": "2012-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT3144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.