Active NPI
Macy J Clor
- Occupational Therapist
- Victor, NY
National Provider Identifier
1316610041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 21916
- Practice address
- 590 Fishers Station Dr Ste 130
Victor, NY 14564-9744 - Phone
- (585) 924-7207
- NPI assigned
- Jul 28, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 025102 | NY | |
| Occupational Therapist | 225X00000X | |||
| Occupational Therapist | 225X00000X | 21916 | FL | Primary |
Addresses
Primary practice location
590 Fishers Station Dr Ste 130
Victor, NY 14564-9744
Mailing address
8155 State Street Rd
Batavia, NY 14020-1059
Phone (585) 815-3678
Other practice location 1
401 N Alf Coleman Rd
Panama City Beach, FL 32407-2567
Phone (850) 249-0707
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | macyclor1@gmail.com | Direct | |
| Other URL | clorm@clinassoc.com |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21916 | FL | MD | Occupational Therapist |
| 025102 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western New York Speech-Language Pathology, OT, and PT Consultants | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Early Intervention Provider Agency
- Victor, NY
- NPI 1386812550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674432000000",
"number": "1316610041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8155 STATE STREET RD",
"city": "BATAVIA",
"state": "NY",
"postal_code": "140201059",
"telephone_number": "585-815-3678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590 FISHERS STATION DR STE 130",
"city": "VICTOR",
"state": "NY",
"postal_code": "145649744",
"telephone_number": "585-924-7207"
}
],
"practiceLocations": [
{
"address_1": "401 N Alf Coleman Rd",
"address_purpose": "LOCATION",
"city": "Panama City Beach",
"state": "FL",
"postal_code": "324072567",
"country_code": "US",
"telephone_number": "850-249-0707",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLOR",
"first_name": "MACY",
"middle_name": "J",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-28",
"last_updated": "2023-01-23",
"certification_date": "2023-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "025102",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "21916",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "macyclor1@gmail.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email",
"address_1": "401 N Alf Coleman Rd",
"city": "Panama City Beach",
"state": "FL",
"country_code": "US",
"postal_code": "324072567",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "clorm@clinassoc.com",
"affiliation": "N",
"address_1": "590 Fishers Station Dr Ste 130",
"city": "Victor",
"state": "NY",
"country_code": "US",
"postal_code": "145649744",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Victor, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.