Carolyn Faith Clay-Pineda, P.T.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

5201004236 Issued in MI

Practice address

W3101 Ridgecrest Dr
Vulcan, MI 49892-8290

Phone

(906) 563-9443

Fax

(906) 563-9443

NPI assigned

May 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Miss Carolyn Faith Clay Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242086400000",
    "number": "1124079363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N1179 WPA RD",
            "city": "VULCAN",
            "state": "MI",
            "postal_code": "498928603",
            "telephone_number": "906-563-9443",
            "fax_number": "906-563-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W3101 RIDGECREST DR",
            "city": "VULCAN",
            "state": "MI",
            "postal_code": "498928290",
            "telephone_number": "906-563-9443",
            "fax_number": "906-563-9443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAY-PINEDA",
        "first_name": "CAROLYN",
        "middle_name": "FAITH",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2009-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "5201004236",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "3472-026",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP PIN",
            "identifier": "650B21070-0",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "CLAY",
            "middle_name": "FAITH",
            "prefix": "MISS",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert Bogaudo, PHARM D
• Cheryl Lynn Carlson, P.T.
• Faithorn Rescue Squad
• Faithorn Rescue Squad
• Great Lakes Independent Eyecare Network LLC
• In Home Rehab of Dickinson County
• Northern Lights Home Health Inc.

• Physical Medicine & Rehabilitation Physician in Vulcan, MI
• Providers in Vulcan, MI by specialty
• Physical Medicine & Rehabilitation Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.