Active NPI
Sarah Clancy
- Occupational Therapy Assistant
- Gainesville, FL
National Provider Identifier
1609365410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 15602
- Practice address
- 3515 SW 39TH Blvd Apt 9E
Gainesville, FL 32608-6542 - Phone
- (319) 290-4572
- NPI assigned
- May 7, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 15602 | FL | Primary |
Addresses
Primary practice location
3515 SW 39TH Blvd Apt 9E
Gainesville, FL 32608-6542
Mailing address
3515 SW 39TH Blvd Apt 9E
Gainesville, FL 32608-6542
Phone (319) 290-4572
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 |
|---|---|---|---|
| 15602 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525651200000",
"number": "1609365410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3515 SW 39TH BLVD APT 9E",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326086542",
"telephone_number": "319-290-4572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3515 SW 39TH BLVD APT 9E",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326086542",
"telephone_number": "319-290-4572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLANCY",
"first_name": "SARAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-07",
"last_updated": "2018-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "15602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.