Jordan Nicole McClutchy, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

4707 140TH Ave N Ste 313
Clearwater, FL 33762-3841

Phone

(727) 223-8978

Fax

(727) 303-3952

NPI assigned

Apr 18, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1487340873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4707 140TH AVE N STE 313",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337623841",
            "telephone_number": "727-223-8978",
            "fax_number": "727-303-3952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 140TH AVE N STE 313",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337623841",
            "telephone_number": "727-223-8978",
            "fax_number": "727-303-3952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLUTCHY",
        "first_name": "JORDAN",
        "middle_name": "NICOLE",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mallory McChone, RBT
• Brandi McClain Marshall, MD
• Breanna J McClain
• Anette McClary
• Brian McClory
• Meredith S McConnell, LCSW
• Cynthia Ann McConville, LMHC
• Anna McCord, MS, CCC-SLP
• William McCormack Jr., LMHC
• Andrew McCoy, DPM

• Occupational Therapist in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.

Verify at the official NPI Registry.