Dustin Clay, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT26173 Issued in FL

Practice address

465 S Lawrence Blvd
Keystone Heights, FL 32656-9222

Phone

(352) 473-7560

Fax

(352) 473-7566

NPI assigned

Mar 14, 2012

Sex

Male

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)

Enrolled

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

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331683200000",
    "number": "1114292893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 S LAWRENCE BLVD",
            "city": "KEYSTONE HEIGHTS",
            "state": "FL",
            "postal_code": "326569222",
            "telephone_number": "352-473-7560",
            "fax_number": "352-473-7566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 S LAWRENCE BLVD",
            "city": "KEYSTONE HEIGHTS",
            "state": "FL",
            "postal_code": "326569222",
            "telephone_number": "352-473-7560",
            "fax_number": "352-473-7566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAY",
        "first_name": "DUSTIN",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-14",
        "last_updated": "2012-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT26173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Ann Buttry, LMT
• Christopher Caradonna, PHARMD
• Marissa Catlin-Evans, MPT
• Sherry Denise Chapman, PHARM.D.
• Clay Behavioral Health Center, Inc.
• Clinical Laboratory Group Inc
• Madison Colaw
• Angelica Bennett Cooksey, APRN
• Kaylie Couch
• Jessica Marie Cummings-Nigh, APRN

• Physical Therapist in Keystone Heights, FL
• Providers in Keystone Heights, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; 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.