Active NPI
Dustin Michael Clayton, DPT
- Physical Medicine & Rehabilitation Physician
- Columbia, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 2014028469
- Practice address
- 1100 Club Village Dr Ste 103
Columbia, MO 65203-4411 - Phone
- (573) 256-2777
- NPI assigned
- Jun 28, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 2014028469 | MO | Primary |
Addresses
Primary practice location
1100 Club Village Dr Ste 103
Columbia, MO 65203-4411
Mailing address
1100 Club Village Dr Ste 103
Columbia, MO 65203-4411
Phone (573) 256-2777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1101 W Clay Rd
Lowr Level
Versailles, MO 65084-1177
Phone (877) 870-4976
1800 1St Capitol Dr
Apt 1
Saint Charles, MO 63301-1660
Phone (636) 242-1764
9101 N Ambassador Dr
Kansas City, MO 64154-7295
Phone (816) 631-0847
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2014028469 | MO | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowerme Rehabilitation Missouri LLC | Current | Accepting new patients | |
| Empowerme Rehabilitation Missouri LLC | Current | Accepting new patients | |
| Empowerme Wellness Kansas City, LLC | Current | Accepting new patients | |
| Empowerme Wellness Kansas City, LLC | Current | Accepting new patients | |
| NHC Healthcare-Macon LLC | Past | Accepting new patients |
Locations
16255 Chesterfield Pkwy W
Chesterfield, MO 63017
Phone (636) 812-6942
1800 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 255-8094
2150 W Randolph St
Saint Charles, MO 63301
Phone (636) 946-4966
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Saint Charles, MO
- NPI 1417479494
-
- Multi-Specialty Clinic/Center
- Kansas City, MO
- NPI 1083208391
-
- Physical Therapist
- Unionville, MO
- NPI 1144389677
-
- Rehabilitation Clinic/Center
- Columbia, MO
- NPI 1558932327
-
- Rehabilitation Clinic/Center
- Liberty, MO
- NPI 1174299044
-
- Skilled Nursing Facility
- Macon, MO
- NPI 1215238589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1205357431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 CLUB VILLAGE DR STE 103",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652034411",
"telephone_number": "573-256-2777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 CLUB VILLAGE DR STE 103",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652034411",
"telephone_number": "573-256-2777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAYTON",
"first_name": "DUSTIN",
"middle_name": "MICHAEL",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-28",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MO",
"license": "2014028469",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.