Anna Marie Clifford, OTR

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OTR861 Issued in AR

Practice address

42 E Main St
Booneville, AR 72927-3733

Phone

(479) 965-6752

Fax

(870) 451-0222

NPI assigned

Jan 23, 2007

Last updated

Jul 10, 2024By 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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Western Arkansas Pediatric Rehab Inc.

  • Pediatric Occupational Therapist
  • Charleston, AR
  • NPI 1215098462

  Pediatrics

  NPD

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1144374133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 871",
            "city": "CHARLESTON",
            "state": "AR",
            "postal_code": "729330871",
            "telephone_number": "479-965-6752",
            "fax_number": "479-965-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 E MAIN ST",
            "city": "BOONEVILLE",
            "state": "AR",
            "postal_code": "729273733",
            "telephone_number": "479-965-6752",
            "fax_number": "870-451-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLIFFORD",
        "first_name": "ANNA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AR",
            "license": "OTR861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134104721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Benjamin Bowman, DO
• Bobby Bullington
• Natalie Chappell
• Tara E. Childers, APRN FNP-C
• Anthony Vincent Ciaramitaro, APRN
• Cooper Clinic PA
• Deborah Kaye Joyce Crothers
• Andrea Daniel, PHARMD
• Andrew David Daniel, MD
• David V. Zarlingo D.D.S., P.a.

• Pediatric Occupational Therapist in Booneville, AR
• Providers in Booneville, AR by specialty
• Pediatric Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.