Active NPI
Sarah Rose Clancy, OTR
- Occupational Therapist
- Dallas, TX
National Provider Identifier
1457864696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 118596
- Practice address
- 550 E Ann Arbor Ave
Dallas, TX 75216-6718 - Phone
- (214) 376-1701
- NPI assigned
- Nov 9, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 118596 | TX | Primary |
Addresses
Primary practice location
550 E Ann Arbor Ave
Dallas, TX 75216-6718
Mailing address
6060 Village Bend Dr Apt 1816
Dallas, TX 75206-3724
Phone (281) 825-2345
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 118596 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510185600000",
"number": "1457864696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6060 VILLAGE BEND DR APT 1816",
"city": "DALLAS",
"state": "TX",
"postal_code": "752063724",
"telephone_number": "281-825-2345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 E ANN ARBOR AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752166718",
"telephone_number": "214-376-1701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLANCY",
"first_name": "SARAH",
"middle_name": "ROSE",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-09",
"last_updated": "2017-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "118596",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.