Saw Clayton Than

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A5396 Issued in MD

Practice address

10882 Olde Woods Way
Columbia, MD 21044-1020

Phone

(518) 364-8347

NPI assigned

Dec 9, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1093474868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10882 OLDE WOODS WAY",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210441020",
            "telephone_number": "518-364-8347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10882 OLDE WOODS WAY",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210441020",
            "telephone_number": "518-364-8347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAN",
        "first_name": "SAW",
        "middle_name": "CLAYTON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-09",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MD",
            "license": "A5396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "10882 Olde Woods Way",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210441020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gabrielle Alexus Tesheira
• Adelaide Tetteh
• Janet Tevera, RN, BSN,MSN, ACM
• Vyoma Thakor, PT, DPT
• Theresa Katharine Thaler
• Deborah A Thatcher-Wilson, DDS
• Sheeba Shaju Thattil, NP
• The Body Image Therapy Center LLC
• The Bridge Therapeutic & Evaluation Services, LLC
• The Cedar Health Group LLC

• Physical Therapy Assistant in Columbia, MD
• Providers in Columbia, MD by specialty
• Physical Therapy Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; 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.