Active NPI
Cliff Thompson Roberts, OTR/L
- Occupational Therapist
- Memphis, TN
National Provider Identifier
1760566939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3155
- Practice address
- 3980 New Covington Pike
Suite 108
Memphis, TN 38128-2500 - Phone
- (901) 937-3200
- Fax
- (901) 383-1738
- NPI assigned
- Oct 25, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3155 | TN | Primary |
Addresses
Primary practice location
3980 New Covington Pike
Suite 108
Memphis, TN 38128-2500
Mailing address
3980 New Covington Pike
Suite 108
Memphis, TN 38128-2500
Phone (901) 937-3200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
805 Bert Johnston Ave
Covington, TN 38019-2444
Phone (901) 500-5494
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aegis Group Practice LLC | Occupational Therapist | Current | Accepting new patients |
| Aegis Group Practice LLC | Occupational Therapist | Current | Accepting new patients |
| MSK Group, PC | Past | Accepting new patients |
Locations
4933 Old Greenwood Rd
Fort Smith, AR 72903
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Germantown, TN
- NPI 1174308647
-
- Physical Therapist
- Indian Harbour Beach, FL
- NPI 1932072030
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760566939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3980 NEW COVINGTON PIKE",
"address_2": "SUITE 108",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381282500",
"telephone_number": "901-937-3200",
"fax_number": "901-383-1738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3980 NEW COVINGTON PIKE",
"address_2": "SUITE 108",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381282500",
"telephone_number": "901-937-3200",
"fax_number": "901-383-1738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "CLIFF",
"middle_name": "THOMPSON",
"name_prefix": "Mr.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "3155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.