Sherry M Clifton, PT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

11115 Issued in WI

Practice address

1218 79TH St
Kenosha, WI 53143-6111

Phone

(262) 658-9500

NPI assigned

Feb 22, 2018

Last updated

Feb 22, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sherry M Prah Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Kenosha Achievement Center

  • Pediatric Physical Therapist
  • Kenosha, WI
  • NPI 1013974849

  Pediatrics

  NPD

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519257600000",
    "number": "1003317330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 79TH ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531436111",
            "telephone_number": "262-658-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 79TH ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531436111",
            "telephone_number": "262-658-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLIFTON",
        "first_name": "SHERRY",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-22",
        "last_updated": "2018-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "WI",
            "license": "11115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERRY",
            "last_name": "PRAH",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Clearsky Rehabilitation Hospital of Kenosha LLC
• Clearview Counseling Group
• Michelle Renee Clements, RPH
• Client Care Medical Transport
• Mary Clifford, RDH
• Meredith Carter Clubb, M.D.
• Cmap, SC
• Emily Jane Collins, R.D.
• Jill Colontuono, NNP-BC, PNCB
• Callie Colwell, RN

• Pediatric Physical Therapist in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Pediatric Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.

Verify at the official NPI Registry.