Clarke Care Physical Therapy PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

CLARKE CARE PHYSICAL THERAPY PLLC

Practice address

145 Smith St Apt D21
Freeport, NY 11520-4484

Phone

(516) 468-9208

NPI assigned

Jul 19, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Tiffany ClarkeNPI 1275108797

Title

Owner

Phone

(516) 468-9208

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tiffany Clarke, PT

  • Physical Therapist
  • Great Neck, NY
  • NPI 1275108797
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1790465235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 SMITH ST APT D21",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115204484",
            "telephone_number": "516-468-9208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 SMITH ST APT D21",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115204484",
            "telephone_number": "516-468-9208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKE CARE PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-19",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-468-9208",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Poonam Choudhary
• Nicole Christensen
• Chubbuck'S Pharmacy Inc.
• Daniel Cieleski
• Paulette Clark
• Tanya Nadene Clarke Carrasco
• Staceyann Monique Claxton, DPT
• Carol Patricia Clunie
• Coast 2 Coast Enterprises
• Lois Ellen Cohen, LCSW

• Physical Therapy Clinic/Center in Freeport, NY
• Providers in Freeport, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.