Active NPI
Sinead Margaret Clancy, DPT, PH.D
- Physical Therapist
- Beaverton, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 61980
- Practice address
- 3905 SW 117TH Ave
Beaverton, OR 97005-8905 - Phone
- (619) 962-2159
- NPI assigned
- May 10, 2012
- Last updated
- Apr 27, 2018
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 61980 | OR | Primary |
Addresses
Primary practice location
3905 SW 117TH Ave
Beaverton, OR 97005-8905
Mailing address
3859 NW Sunset View Terr
Portland, OR 97229
Phone (619) 962-2159
Other practice location 1
735 SW 158th Ave
Suite 160
Beaverton, OR 97006-4952
Phone (503) 597-0035
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669977898 | Other | CMS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16849 SW 65TH Ave
Lake Oswego, OR 97035-7865
Phone (503) 662-6403
3905 SW 117TH Ave
Suite a
Beaverton, OR 97005-8905
Phone (503) 662-6403
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erhardt Physical Therapy and Sports Medicine, LLC | Physical Therapist | Current | Accepting new patients |
| Hopstown Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Ultra Physical Therapy & Hand Center, LLC | Physical Therapist | Current | Accepting new patients |
| Ultra Physical Therapy & Hand Center II LLC | Physical Therapist | Current | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
3905 SW 117th Ave
Beaverton, OR 97005
Phone (619) 962-2159
3905 SW 117th Ave
Ste A
Beaverton, OR 97005
Phone (503) 662-6403
735 SW 158th Ave
Ste 160
Beaverton, OR 97006
Phone (503) 597-0035
16849 SW 65th Ave
Lake Oswego, OR 97035
Phone (503) 598-8603
51385 SW Old Portland Rd
Scappoose, OR 97056
Phone (503) 543-7768
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Beaverton, OR
- NPI 1669977898
Physical Therapist
-
dba ATI Physical Therapy
- Physical Therapist
- Scappoose, OR
- NPI 1326110313
-
- Physical Therapy Clinic/Center
- Lake Oswego, OR
- NPI 1679218317
Physical Therapist
-
- Physical Medicine & Rehabilitation Physician
- Beaverton, OR
- NPI 1447841697
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524787200000",
"number": "1689933681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3859 NW SUNSET VIEW TERR",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97229",
"telephone_number": "619-962-2159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3905 SW 117TH AVE",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970058905",
"telephone_number": "619-962-2159"
}
],
"practiceLocations": [
{
"address_1": "735 SW 158th Ave",
"address_2": "Suite 160",
"address_purpose": "LOCATION",
"city": "Beaverton",
"state": "OR",
"postal_code": "970064952",
"country_code": "US",
"telephone_number": "503-597-0035",
"fax_number": "503-726-5490",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLANCY",
"first_name": "SINEAD",
"middle_name": "MARGARET",
"name_prefix": "Dr.",
"credential": "DPT, PH.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-10",
"last_updated": "2018-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "61980",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CMS",
"identifier": "1669977898",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; 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.