Shelly Lorraine Clayburn, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

P160067947 Issued in WA

Practice address

13333 Greenwood Ave N
Seattle, WA 98133-7312

Phone

(206) 362-0303

Fax

(206) 364-7208

NPI assigned

Feb 18, 2009

Sex

Female

Sole proprietor

No

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": "1234915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234915200000",
    "number": "1104065846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5307 234TH ST SW",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980434741",
            "telephone_number": "253-709-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13333 GREENWOOD AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981337312",
            "telephone_number": "206-362-0303",
            "fax_number": "206-364-7208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYBURN",
        "first_name": "SHELLY",
        "middle_name": "LORRAINE",
        "name_prefix": "Mrs.",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-18",
        "last_updated": "2009-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "P160067947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Anne Marie Clay, LSWAIC
• Martha A. Clay, ARNP
• Patricia Grace Clay
• Rebecca Anne Clay, ARNP
• Samantha Teresa Clay
• Lawrence A Clayman, DC
• Cynthia Clayton-Butler, CDP
• Alicia Rae Clayton
• Bruce Gary Clayton
• Christina Clayton, LICSW, SUDP

• Physical Therapy Assistant in Seattle, WA
• Providers in Seattle, WA by specialty
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; 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.