Individual provider Active NPI

Rodgers Melvin Clay Jr., DPT

  • Physical Therapist
  • McMinnville, TN
National Provider Identifier
1124619127
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13097 Issued in TN
Practice address
928 Old Smithville Rd
McMinnville, TN 37110-6805
Phone
(931) 473-8431
NPI assigned
Feb 1, 2021
Last updated
Mar 29, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 13097 TN Primary

Addresses

Primary practice location

928 Old Smithville Rd
McMinnville, TN 37110-6805

Mailing address

428 Buxton CT
Murfreesboro, TN 37128-6918
Phone (615) 260-1516

Other practice location 1

202 Enon Springs Rd E
Smyrna, TN 37167-3011
Phone (615) 459-5600

Other practice location 2

200 Stonecrest Blvd
Smyrna, TN 37167-6810
Phone (615) 768-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1124619127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 BUXTON CT",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371286918",
            "telephone_number": "615-260-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 OLD SMITHVILLE RD",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371106805",
            "telephone_number": "931-473-8431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202 Enon Springs Rd E",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "TN",
            "postal_code": "371673011",
            "country_code": "US",
            "telephone_number": "615-459-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Stonecrest Blvd",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "TN",
            "postal_code": "371676810",
            "country_code": "US",
            "telephone_number": "615-768-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLAY",
        "first_name": "RODGERS",
        "middle_name": "MELVIN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-01",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "13097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McMinnville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; 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.