Clayton Russell Fitzgerald, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

00019014677 Issued in VA

Practice address

25 Tinkling Spring Rd
Fishersville, VA 22939-2261

Phone

(540) 820-2888

NPI assigned

Oct 23, 2017

Sex

Male

Sole proprietor

Yes

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": "1508716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1306357850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 E SIDE HWY",
            "city": "CRIMORA",
            "state": "VA",
            "postal_code": "244312430",
            "telephone_number": "540-820-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 TINKLING SPRING RD",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229392261",
            "telephone_number": "540-820-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "CLAYTON",
        "middle_name": "RUSSELL",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-23",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "00019014677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Field, MD
• Stephanie Osborne Findley, NP
• Franklin A Fisher, P.A.-C
• Joseph D. Fisher, M.D.
• Cassandra Michelle Fitzgerald, RN, QMHP-E
• Laura L Fitzpatrick, MD
• Uzoamaka Flake
• Michael David Flam, DO
• Margaret Dubose Flather, M.D.
• Sandra Flintom, CFNP

• Massage Therapist in Fishersville, VA
• Providers in Fishersville, VA by specialty
• Massage Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.