Active NPI
Tarone Claybrook, OTR
- Occupational Therapist
- Youngstown, OH
National Provider Identifier
1750518239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT05585
- Practice address
- 3940 Lockwood Blvd
Youngstown, OH 44511-3522 - Phone
- (330) 788-2115
- Fax
- (330) 788-2115
- NPI assigned
- Jun 11, 2009
- 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 | OT05585 | OH | Primary |
Addresses
Primary practice location
3940 Lockwood Blvd
Youngstown, OH 44511-3522
Mailing address
PO Box 3445
Boardman, OH 44513-3445
Phone (330) 788-2115
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT05585 | OH | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305849600000",
"number": "1750518239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3445",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445133445",
"telephone_number": "330-788-2115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3940 LOCKWOOD BLVD",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445113522",
"telephone_number": "330-788-2115",
"fax_number": "330-788-2115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAYBROOK",
"first_name": "TARONE",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-11",
"last_updated": "2011-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "OT05585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.