Organization Active NPI

New York Hand & Physical Therapy PLLC

  • Physical Therapist
  • Wappingers Falls, NY
National Provider Identifier
1174960363
Registry record updated Feb 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
NEW YORK HAND & PHYSICAL THERAPY PLLC
Practice address
66 Middlebush Rd
Suite 200
Wappingers Falls, NY 12590-4098
Phone
(845) 632-6775
Fax
(845) 632-6777
NPI assigned
May 28, 2013
Last updated
Feb 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2014

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

Authorized official

Name
Mr. Patrick N Clough, P.T.NPI 1346304615
Title
Owner
Phone
(845) 632-6775

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Hand Physical Therapist 2251H1200X NU

Addresses

Primary practice location

66 Middlebush Rd
Suite 200
Wappingers Falls, NY 12590-4098

Mailing address

66 Middlebush Rd
Suite 200
Wappingers Falls, NY 12590-4098
Phone (845) 632-6775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131204000453 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9032345681 Receives reassigned benefits from 1 practitioner
Practice locations: Poughkeepsie, NY

National Provider Directory

National Provider Directory

Locations

22 Ibm Rd
Ste 108
Poughkeepsie, NY 12601
Phone (845) 632-6775

66 Middlebush Rd
Ste 200
Wappingers Fl, NY 12590
Phone (845) 632-6775

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391990400000",
    "number": "1174960363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 MIDDLEBUSH RD",
            "address_2": "SUITE 200",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125904098",
            "telephone_number": "845-632-6775",
            "fax_number": "845-632-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 MIDDLEBUSH RD",
            "address_2": "SUITE 200",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125904098",
            "telephone_number": "845-632-6775",
            "fax_number": "845-632-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK HAND & PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-28",
        "last_updated": "2014-02-10",
        "status": "A",
        "authorized_official_last_name": "CLOUGH",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-632-6775",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2251H1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Hand",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wappingers Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.