Organization Active NPI

Clifford Physical Therapy Services, L.L.C.

  • Physical Therapist
  • South Bend, IN
National Provider Identifier
1316565096
Registry record updated Jul 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CLIFFORD PHYSICAL THERAPY SERVICES, L.L.C.
Doing business as
Clifford Physical Therapy
Practice address
50830 Hidden Forest Dr
South Bend, IN 46628-8150
Phone
(317) 437-6208
NPI assigned
Jul 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2020

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

Authorized official

Name
Anne Ashley Clifford, PTNPI 1598159659
Title
Physical Therapist
Phone
(317) 437-6208

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

50830 Hidden Forest Dr
South Bend, IN 46628-8150

Mailing address

50830 Hidden Forest Dr
South Bend, IN 46628-8150
Phone (317) 437-6208

Other names 1

  • Clifford Physical Therapy Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address anne@cliffordphysicaltherapy.com Other

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594252800000",
    "number": "1316565096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50830 HIDDEN FOREST DR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466288150",
            "telephone_number": "317-437-6208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50830 HIDDEN FOREST DR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466288150",
            "telephone_number": "317-437-6208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFFORD PHYSICAL THERAPY SERVICES, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-09",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A",
        "authorized_official_last_name": "CLIFFORD",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "ASHLEY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "317-437-6208",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anne@cliffordphysicaltherapy.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "business email associated with LLC, HIPAA complaint through gsuite",
            "address_1": "50830 Hidden Forest Dr",
            "city": "South Bend",
            "state": "IN",
            "country_code": "US",
            "postal_code": "466288150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Clifford Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; 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.