Organization Active NPI

Complete OT and Ota Services, PLLC

  • Occupational Therapist
  • East Meadow, NY
National Provider Identifier
1922629005
Registry record updated Apr 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
COMPLETE OT AND OTA SERVICES, PLLC
Practice address
2545 Hempstead Tpke Ste LL4
East Meadow, NY 11554-2143
Phone
(516) 330-2912
NPI assigned
Apr 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2020

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

Authorized official

Name
Diane Clune
Title
Otr/L Co-Owner
Phone
(516) 330-2912

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

2545 Hempstead Tpke Ste LL4
East Meadow, NY 11554-2143

Mailing address

2545 Hempstead Tpke Ste LL4
East Meadow, NY 11554-2143

Other identifiers 1

IdentifierTypeStateIssuer
11617928OtherCAQH

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL completeotservices@gmail.com
CONNECT URL completeoccupationaltherapyservices.com

National Provider Directory

National Provider Directory

Locations

2545 Hempstead Tpke
Ste LL4
East Meadow, NY 11554
Phone (516) 330-2912

NPI Registry JSON

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

{
    "created_epoch": "1588204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588204800000",
    "number": "1922629005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2545 HEMPSTEAD TPKE STE LL4",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115542143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 HEMPSTEAD TPKE STE LL4",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115542143",
            "telephone_number": "516-330-2912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE OT AND OTA SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-30",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A",
        "authorized_official_last_name": "CLUNE",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "OTR/L CO-OWNER",
        "authorized_official_telephone_number": "516-330-2912"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11617928",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "completeotservices@gmail.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "2545 Hempstead Tpke Ste Ll4",
            "city": "East Meadow",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115542143",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "completeoccupationaltherapyservices.com",
            "affiliation": "N",
            "address_1": "2545 Hempstead Tpke Ste Ll4",
            "city": "East Meadow",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115542143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in East Meadow, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2020; 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.