SUZANNE ELLIS CLEARY (OT) – Occupational Therapist, NPI 1194265264

SUZANNE ELLIS CLEARY (OT) is a healthcare provider. based in New canaan, Connecticut. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OT. They hold a License No. 001536 (CT). The NPI Number for SUZANNE ELLIS CLEARY (OT) is 1194265264

Main info

Female
40 Years Of Experience
Accepts Medicare Assignment
Name
SUZANNE ELLIS CLEARY (OT)
NPI
1194265264
Phone
(203) 594-5200
Address
3 FARM ROAD
Enumeration Date
8 March 2017
Last Update Date
8 March 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2035945340
Graduation Year
1986 (40 years ago)
PAC ID
5092187724
Group Practice PAC ID
6608271374
Professional Enrollment ID
I20230207000829
Address ID
CT068406626NE3XXXXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

249 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in CT

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Provider Addresses for SUZANNE ELLIS CLEARY (OT)

  • Waveny Care Center, 3, Farm Road, New Canaan, Fairfield County, Connecticut, 06840, United States

    NEW CANAAN, CT 068406698

    Phone: (203) 594-5200

    Fax: (203) 594-5412

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-02-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230207000829IOccupational Therapist In Private PracticeCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06840)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6608271374View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeTX
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeCT
Occupational Therapist In Private PracticeCT
Qualified Speech Language PathologistCT
Qualified Speech Language PathologistCT
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeCT
Occupational Therapist In Private PracticeNJ

Reviews

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Frequently asked questions

How do payers reference SUZANNE ELLIS CLEARY (OT)?
For SUZANNE ELLIS CLEARY (OT), use NPI 1194265264 as the unique 10-digit identifier.
Is SUZANNE ELLIS CLEARY (OT) shown as active in public data?
Registry records indicate SUZANNE ELLIS CLEARY (OT) maintains an active NPI.
How would a patient describe SUZANNE ELLIS CLEARY (OT)'s focus?
For SUZANNE ELLIS CLEARY (OT), the primary taxonomy reads as Occupational Therapist. Clinical services aligned with this taxonomy classification.
What locale is associated with SUZANNE ELLIS CLEARY (OT)?
Directory geography for SUZANNE ELLIS CLEARY (OT) centers on New Canaan, Connecticut.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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