Individual provider Active NPI

Patrick Noel Clough, PT CHT

  • Physical Therapist
  • Poughkeepsie, NY
National Provider Identifier
1346304615
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
012834 Issued in NY
Practice address
1809 South Rd
Poughkeepsie, NY 12601-1260
Phone
(845) 632-6775
NPI assigned
Dec 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Physical Therapist 2251H1200X 1041100058 NY
Physical Therapist 225100000X 012834 NY Primary

Addresses

Primary practice location

1809 South Rd
Poughkeepsie, NY 12601-1260

Mailing address

1890 South Rd
Poughkeepsie, NY 12601-6028
Phone (845) 632-6775

Other practice location 1

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

Other identifiers 5

IdentifierTypeStateIssuer
02075390MedicaidNY
1000720OtherORTHONET - US FAMILY HEALTH PLAN
1000720OtherORTHONET - CIGNA
9924253OtherMVP
Q31921OtherEMPIRE BCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070420000204 NY Practitioner - Physical Therapist in Private Practice 1557466471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

22 Ibm Rd
Suite 108
Poughkeepsie, NY 12601-5461
Phone (845) 632-6775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
012834NYMDPhysical Therapist
1041100058NYMDHand Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New York Hand & Physical Therapy PLLC Physical Therapist CurrentSince May 22, 2013 Accepting new patients
One to One Physical Therapy, Inc. Physical Therapist Past Accepting new patients
County Physical Therapy Past Accepting new patients
County Physical Therapy LLC Physical Therapist PastSince Jul 1, 2009 Accepting new patients

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

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1346304615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 SOUTH RD",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126016028",
            "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": "1809 SOUTH RD",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011260",
            "telephone_number": "845-632-6775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "66 Middlebush Rd",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Wappingers Falls",
            "state": "NY",
            "postal_code": "125904098",
            "country_code": "US",
            "telephone_number": "845-632-6775",
            "fax_number": "845-632-6777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLOUGH",
        "first_name": "PATRICK",
        "middle_name": "NOEL",
        "name_prefix": "Mr.",
        "credential": "PT CHT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251H1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Hand",
            "state": "NY",
            "license": "1041100058",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "012834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02075390",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORTHONET - US FAMILY HEALTH PLAN",
            "identifier": "1000720",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORTHONET - CIGNA",
            "identifier": "1000720",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "9924253",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS",
            "identifier": "Q31921",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.