Active NPI
Patrick Noel Clough, PT CHT
- Physical Therapist
- Poughkeepsie, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 012834
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02075390 | Medicaid | NY | |
| 1000720 | Other | ORTHONET - US FAMILY HEALTH PLAN | |
| 1000720 | Other | ORTHONET - CIGNA | |
| 9924253 | Other | MVP | |
| Q31921 | Other | EMPIRE BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 012834 | NY | MD | Physical Therapist |
| 1041100058 | NY | MD | Hand Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Hand & Physical Therapy PLLC | Physical Therapist | Current | 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 | Past | 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.
-
- Physical Therapist
- Wappingers Falls, NY
- NPI 1174960363
-
- Specialist
- New Paltz, NY
- NPI 1770686917
-
- Physical Therapist
- New Paltz, NY
- NPI 1528122793
-
- Physical Therapist
- Delray Beach, FL
- NPI 1093768517
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.