Active NPI
Clifford Physical Therapy Services, L.L.C.
- Physical Therapist
- South Bend, IN
National Provider Identifier
1316565096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anne Ashley Clifford, PT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | anne@cliffordphysicaltherapy.com | Other |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- South Bend, IN
- NPI 1598159659
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.