SANDRA CLOUGH (NPI# 1104324417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104324417 |
| Entity Type | Individual |
| Full Name | SANDRA CLOUGH |
| Credential | OT |
| Practice Address |
1367 Washington Ave Ste 100 Albany NY 12206 |
| Mailing Address |
711 Troy Schenectady Rd Ste 209 Latham NY 12110-2461 |
| Practice Telephone | 5184387926 |
| Practice Fax Number | 5184388364 |
| Mailing Telephone | 5187861667 |
| Mailing Fax Number | 5187861954 |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2018-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 022256 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 05182334 | 05 | |
| NY | MEDICARE | J400454499 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306073283 | Sandra Mays Clough | Psychologist | 50 Broadway Fl 6, New York, NY 10004-3810 | 2009-06-17 |
| Street Address |
1367 WASHINGTON AVE STE 100 |
| City | ALBANY |
| State | NY |
| Zip Code | 12206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962813584 | Leah Klein | Physical Therapist | 1367 Washington Ave Ste 100, Albany, NY 12206-1043 | 2014-05-16 |
| 1548870355 | Jill Dougherty | Occupational Therapist | 1367 Washington Ave Ste 100, Albany, NY 12206-1043 | 2020-08-06 |
| 1144879081 | Briana Mcqueen | Physical Therapist | 1367 Washington Ave Ste 100, Albany, NY 12206-1043 | 2019-09-04 |
| 1942713144 | Jaclyn Nanna | Physical Therapist | 1367 Washington Ave Ste 100, Albany, NY 12206 | 2017-11-09 |
| 1518496272 | Riddhi Hemendra Bhanshali | Physical Therapist | 1367 Washington Ave Ste 100, Albany, NY 12206-1043 | 2017-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144749854 | Madena Lynn Henderson | Licensed Practical Nurse | 51 Garfield Pl, Albany, NY 12206 | 2017-09-13 |
| 1912456534 | Adeel A Janjua I | Contractor | 17 Roosevelt St, Albany, NY 12206 | 2016-09-23 |
| 1376901595 | Jacqueline Aimee Dall | Nurse Practitioner | 855 Central Avenue, Albany, NY 12206 | 2016-02-02 |
| 1326414210 | Sarah Walton | Pharmacist | 346 Central Ave, Albany, NY 12206 | 2015-08-14 |
| 1376932558 | Hope House, Inc. | Substance Abuse Rehabilitation Facility | 577 Livingston Ave., Albany, NY 12206 | 2015-01-12 |
| 1679993828 | Lori S. Matulewicz | Nurse Practitioner | 500 Central Ave., Equinox, Inc., Albany, NY 12206 | 2014-04-25 |
| 1437417995 | Ernest Nicola Chisena | Orthopaedic Surgery | 1367 Washington Avenue Suite 200, Albany, NY 12206 | 2012-05-02 |
| 1629368519 | Joseph M Rozell | Radiology | 255 Patroon Creek Blvd Apt 3439, Albany, NY 12206 | 2011-04-12 |
| 1346542404 | Melissa June Kowlessar | Licensed Practical Nurse | 69 Benson Street, Albany, NY 12206 | 2010-11-23 |
| 1316109796 | Edmund John Mcgrath | Podiatrist | 911 Central Avenue #24, Albany, NY 12206 | 2008-06-27 |
| Find all providers in zip 12206 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518596055 | Stephanie Amber Reneau | Occupational Therapist | 1074 Virginia Ave, Albany, KY 42602-1749 | 2020-04-06 |
| 1497319107 | Tamara Mae Ruedebusch | Occupational Therapist | 230 Church Ave, Albany, MN 56307-9489 | 2019-04-28 |
| 1346710985 | State of New York Comptrollers Office | Occupational Therapist | 44 Holland Avenue 4th Floor, Albany, NY 12229-0001 | 2018-11-27 |
| 1255829115 | Haley B Alexander | Occupational Therapist | 2336 Dawson Rd Ste 100, Albany, GA 31707-2800 | 2018-04-26 |
| 1477079200 | Susanne Corrales | Occupational Therapist | 90 State St Ste 70040a, Albany, NY 12207-1716 | 2017-08-14 |
| 1730548132 | Shawna Burke | Occupational Therapist | 31 Nicholas Dr, Albany, NY 12205-2527 | 2016-02-15 |
| 1780056234 | Latricia Jackson | Occupational Therapist | 2731 Moultrie Rd, Albany, GA 31705-5043 | 2015-10-23 |
| 1164776753 | Ruth Anne Konoff | Occupational Therapist | 964 Tulare Ave, Albany, CA 94707-2540 | 2012-11-03 |
| 1972896058 | Amy B Ross | Occupational Therapist | 2711 Dover Ln, Albany, GA 31721-1584 | 2011-05-23 |
| 1437467198 | Donna Jean Richards | Occupational Therapist | 1979 Central Ave, Albany, NY 12205-4501 | 2010-09-15 |
| Find all providers in ALBANY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.