Active NPI
Samantha R Clifford, DPT
- Physical Therapist
- Falls Church, VA
National Provider Identifier
1750679981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305207044
- Practice address
- 5115 Leesburg Pike
Falls Church, VA 22041-3207 - Phone
- (703) 824-0701
- Fax
- (703) 824-0704
- NPI assigned
- Jul 21, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 2305207044 | VA | Primary |
Addresses
Primary practice location
5115 Leesburg Pike
Falls Church, VA 22041-3207
Mailing address
PO Box 1769
Middleburg, VA 20118-1769
Phone (540) 687-8181
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3436 State Route 66
Neptune, NJ 07753-2708
Phone (732) 918-7300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036361 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dizziness and Balance Center, LLC | Physical Therapist | Current | Accepting new patients |
| D E Delopoulos | Physical Therapist | Current | Accepting new patients |
Locations
3436 State Route 66
Neptune, NJ 07753
Phone (732) 918-7300
261 E 78th St
Fl 2
New York, NY 10075
Phone (212) 472-5820
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Neptune, NJ
- NPI 1770736019
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524700800000",
"number": "1750679981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1769",
"city": "MIDDLEBURG",
"state": "VA",
"postal_code": "201181769",
"telephone_number": "540-687-8181",
"fax_number": "540-687-8256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5115 LEESBURG PIKE",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220413207",
"telephone_number": "703-824-0701",
"fax_number": "703-824-0704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLIFFORD",
"first_name": "SAMANTHA",
"middle_name": "R",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-21",
"last_updated": "2018-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305207044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; 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.