CLAY DARGERT, OT — NPI 1649862947 (Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab) in MANTENO, IL)

CMS-1500 Box 24J / 33a • NPI

1649862947

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

225X00000X (CMS 67)

Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab)

Box 32 Service Location & ZIP+4

1 VETERANS DR, MANTENO, IL, 60950-9466

✓ 9-Digit EDI 837 ZIP+4 (60950-9466)

Practice Phone & Referral Fax

(815) 468-6581

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1649862947 (CLAY DARGERT, OT) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1649862947` (NPI-1 Individual Practitioner)
Provider / Legal Name	CLAY DARGERT, OT
Plain-English Specialty	Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab) NUCC Code: `225X00000X` (Occupational Therapist)
Certifying / Licensing Body	National Board for Certification in Occupational Therapy (NBCOT)
Practice Location Address	1 VETERANS DR, MANTENO, IL, 60950-9466
Practice Telephone / Fax	Tel: (815) 468-6581
Administrative Mailing Address	11025 W DRALLE RD, MONEE, IL, 60449-9429
Enumeration & Last Sync	Enumerated: 2021-02-08 \| CMS Record Updated: 2021-02-08

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1 VETERANS DR, MANTENO, IL, 60950-9466

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Plain-English Taxonomy & CMS Crosswalk (225X00000X)

What Does Taxonomy Code 225X00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 225X00000X translates to:
"Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 67 (Occupational Therapist in Private Practice)
Certifying / Accrediting Authority: National Board for Certification in Occupational Therapy (NBCOT)
Clinical Scope: Regaining hand function, fine motor skills, and independent daily living after stroke, hand injury, or pediatric developmental delay.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (CLAY DARGERT, OT)

Typical CPT / Diagnostic Procedures:

Activities of Daily Living (ADL) & Neuromuscular Re-Education (CPT 97530–97535)
Upper Extremity Hand Therapy, Custom Splinting & Home Safety Ergonomics

Common Therapeutic Classes:

Non-Pharmacological Functional & Sensory-Motor Rehabilitation Protocols

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`225X00000X` — Occupational Therapist Plain English: Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab)	State: IL \| License: `056.014033` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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CLAY DARGERT, OT (NPI #1649862947)