Individual provider Active NPI

Clifford Civil, PT, DPT

  • Orthopedic Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1427483825
Registry record updated Nov 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
036702-1 Issued in NY
Practice address
310 Clarkson Ave Apt 208
Brooklyn, NY 11226-2999
Phone
(347) 815-5228
NPI assigned
Sep 5, 2013
Last updated
Nov 17, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 036702-1 NY Primary

Addresses

Primary practice location

310 Clarkson Ave Apt 208
Brooklyn, NY 11226-2999

Mailing address

310 Clarkson Ave Apt 208
Brooklyn, NY 11226-2999
Phone (347) 815-5228

Other practice location 1

75 Maiden Ln Rm 404
New York, NY 10038-4636
Phone (212) 402-5430

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230109001095 GA Practitioner - Physical Therapist in Private Practice 3870717937 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Civil Physical Therapy, PLLCGroup PAC ID 3274968169, 2 clinicians

Practice addresses (Care Compare)

5881 Glenridge Dr
Suite 220
Atlanta, GA 30328-5569
Phone (404) 481-3732

Merit-based Incentive Payment System (MIPS)

Final score
82.85 of 100Reported as group
Quality
85.59
Improvement activities
40
Cost
69.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
036702-1NYMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Emory Physical Therapy, LLC Current Accepting new patients

Locations

21 Ortho Ln
Atlanta, GA 30329
Phone (404) 778-2516

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573948800000",
    "number": "1427483825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 CLARKSON AVE APT 208",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112262999",
            "telephone_number": "347-815-5228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 CLARKSON AVE APT 208",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112262999",
            "telephone_number": "347-815-5228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Maiden Ln Rm 404",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100384636",
            "country_code": "US",
            "telephone_number": "212-402-5430",
            "fax_number": "212-402-5432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CIVIL",
        "first_name": "CLIFFORD",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-05",
        "last_updated": "2019-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "036702-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2019; 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.