Individual provider Active NPI

Clare Anastasia Doss, PT, DPT

  • Physical Therapist
  • Berryville, AR
National Provider Identifier
1427438720
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT4803 Issued in AR
Practice address
210 Rice St
Berryville, AR 72616-4388
Phone
(870) 423-6789
NPI assigned
Jun 2, 2015
Sex
Female
Sole proprietor
No

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.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wolf Wellness Center PLLC 4 clinicians

Practice addresses (Care Compare)

23 Parkcliff Dr
Holiday Island, AR 72631-8045
Phone (479) 363-6422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200918002115 AR Practitioner - Physical Therapist in Private Practice 8628496841 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Carmel Physical Therapy Center, PLLC Physical Therapist CurrentSince Sep 1, 2020 Accepting new patients
Wolf Wellness Center, PLLC CurrentSince Dec 19, 2024 Accepting new patients
Spine and Sports Therapy LLC Physical Therapist PastSince Dec 19, 2024 Accepting new patients
Ozark Physical Therapy Inc. PastSince Aug 23, 2020 Accepting new patients

Locations

197 S Walmart Dr
Harrison, AR 72601
Phone (870) 204-6070

23 Parkcliff Dr
Holiday Island, AR 72631
Phone (479) 363-6422

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT4803 AR Primary

Addresses

NPPES NPI Registry

Primary practice location

210 Rice St
Berryville, AR 72616-4388

Mailing address

1119 County Road 513
Berryville, AR 72616-9377
Phone (870) 350-3905

Other practice location 1

197 S Walmart Dr
Harrison, AR 72601-1987
Phone (870) 204-6070

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 19, 2020.

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1427438720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 COUNTY ROAD 513",
            "city": "BERRYVILLE",
            "state": "AR",
            "postal_code": "726169377",
            "telephone_number": "870-350-3905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 RICE ST",
            "city": "BERRYVILLE",
            "state": "AR",
            "postal_code": "726164388",
            "telephone_number": "870-423-6789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "197 S Walmart Dr",
            "address_purpose": "LOCATION",
            "city": "Harrison",
            "state": "AR",
            "postal_code": "726011987",
            "country_code": "US",
            "telephone_number": "870-204-6070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOSS",
        "first_name": "CLARE",
        "middle_name": "ANASTASIA",
        "name_prefix": "Ms.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-02",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT4803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berryville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.

Verify at the official NPI Registry.