Active NPI
Justine Clifford, D.P.T
- Physical Therapist
- Wantagh, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 035669
- Practice address
- 2850 N Jerusalem Rd
Wantagh, NY 11793-1125 - Phone
- (516) 396-2600
- NPI assigned
- Jun 21, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 035669 | NY | Primary |
Addresses
Primary practice location
2850 N Jerusalem Rd
Wantagh, NY 11793-1125
Mailing address
16316 84TH St
Howard Beach, NY 11414-3319
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
178 Morrison Ave
Staten Island, NY 10310-2835
Phone (718) 916-8998
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Young Adult Institute, Inc. | Current | Accepting new patients | |
| Bridge PT, OT & Speech Services, PLLC | Physical Therapist | Current | Accepting new patients |
| Superior Clinical Care PLLC | Current | Accepting new patients | |
| JC Stepping Stone Physical Therapy | Past | Accepting new patients |
Locations
21111 Northern Blvd
Bayside, NY 11361
Phone (212) 563-7474
3060 E Tremont Ave
Bronx, NY 10461
Phone (718) 239-1790
220 E 42nd St
Fl 8
New York, NY 10017
Phone (212) 273-2761
460 W 34th St
Fl 11
New York, NY 10001
Phone (212) 273-6515
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Contractor
- Staten Island, NY
- NPI 1154487122
-
- Developmental Disabilities Clinic/Center
- New York, NY
- NPI 1144314576
-
- Physical Therapy Clinic/Center
- Howard Beach, NY
- NPI 1952767444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476662400000",
"number": "1346503570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16316 84TH ST",
"city": "HOWARD BEACH",
"state": "NY",
"postal_code": "114143319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2850 N JERUSALEM RD",
"city": "WANTAGH",
"state": "NY",
"postal_code": "117931125",
"telephone_number": "516-396-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLIFFORD",
"first_name": "JUSTINE",
"credential": "D.P.T",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-21",
"last_updated": "2016-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "035669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wantagh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.