Active NPI
Sally E. Poole, MA, OT, CHT
- Hand Occupational Therapist
- Valhalla, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 1217-1
- Practice address
- 503 Grasslands Rd
Suite #105
Valhalla, NY 10595-1503 - Phone
- (914) 345-9133
- Fax
- (914) 345-9140
- NPI assigned
- Apr 19, 2006
- 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 |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | 1217-1 | NY | Primary |
Addresses
Primary practice location
503 Grasslands Rd
Suite #105
Valhalla, NY 10595-1503
Mailing address
503 Grasslands Rd
Suite #105
Valhalla, NY 10595-1503
Phone (914) 345-9133
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1975
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255
303 S Broadway
Tarrytown, NY 10591-5413
Phone (914) 591-4332
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1217-1 | NY | MD | Hand Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| Montefiore Medical Center | Hand | Past | Accepting new patients |
| JDS Occupational Therapy Associates PC | Past | Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
503 Grasslands Rd
Ste 105
Valhalla, NY 10595
Phone (914) 285-8660
503 Grasslands Rd
Ste 104
Valhalla, NY 10595
Phone (914) 345-2077
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
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.
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Customized Equipment (DME)
- Valhalla, NY
- NPI 1871619759
-
- Durable Medical Equipment & Medical Supplies
- Valhalla, NY
- NPI 1962133579
Hand
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265328000000",
"number": "1629033097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 GRASSLANDS RD",
"address_2": "SUITE #105",
"city": "VALHALLA",
"state": "NY",
"postal_code": "105951503",
"telephone_number": "914-345-9133",
"fax_number": "914-345-9140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 GRASSLANDS RD",
"address_2": "SUITE #105",
"city": "VALHALLA",
"state": "NY",
"postal_code": "105951503",
"telephone_number": "914-345-9133",
"fax_number": "914-345-9140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POOLE",
"first_name": "SALLY",
"middle_name": "E.",
"name_prefix": "Ms.",
"credential": "MA, OT, CHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-19",
"last_updated": "2010-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "NY",
"license": "1217-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valhalla, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2010; 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.