Alicia Durante Clifford, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1364 Issued in NC

Practice address

10616 Metromont Pkwy
Charlotte, NC 28269-7656

Phone

(704) 597-7228

NPI assigned

Feb 6, 2012

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

• Lisa Durante Clifford Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1328486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328486400000",
    "number": "1013289099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8106 RITTENHOUSE CIR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282701062",
            "telephone_number": "704-995-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10616 METROMONT PKWY",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282697656",
            "telephone_number": "704-597-7228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLIFFORD",
        "first_name": "ALICIA",
        "middle_name": "DURANTE",
        "name_prefix": "Mrs.",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-06",
        "last_updated": "2012-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "1364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "CLIFFORD",
            "middle_name": "DURANTE",
            "credential": "LPTA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Robert Brent Clevenger III
• James Kevin Clevinger, C.O.
• Client Directed Services, LLC
• Cliff C Smith DDS PA
• Crystal Noelle Cliff, DACM
• Kelly Marie Clifford, M.D.
• Gloria Clifton
• George Craig Clinard, MD
• Allyson Cline, NP
• Emily Rose Cline

• All providers in Charlotte, NC
• Physical Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2012; 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.