Charles Claxton, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT7253 Issued in TX

Practice address

3724 Executive Center Dr Ste G10
Austin, TX 78731-1665

Phone

(904) 214-4850

NPI assigned

Nov 25, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1606262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1093319410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13021 LEGENDARY DR APT 1714",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787273972",
            "telephone_number": "904-214-4850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3724 EXECUTIVE CENTER DR STE G10",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787311665",
            "telephone_number": "904-214-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAXTON",
        "first_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-25",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT7253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristie Claudio
• Madison Clausen, LPA
• Peter Clauter, APRN, PMHNP-BC
• Christine Joy Clavecilla-Rasul
• Tammy Clawson
• Yolanda Yvonne Clay-PO, M.D.
• Dennis Bernette Clay Jr., CRNA
• John Clay, PTA
• Andrew John Clayburn, MD
• Elisabeth Anne Clayton, MD

• Athletic Trainer in Austin, TX
• Providers in Austin, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.