Clay Canterbury, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1382271 Issued in TX

Practice address

5416 Plaza Dr
Texarkana, TX 75503-1661

Phone

(903) 794-0333

NPI assigned

Jan 24, 2024

Last updated

Jan 24, 2024By the provider in NPPES

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

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mount Pleasant Physical Therapy PC

  • Physical Therapist
  • New Boston, TX
  • NPI 1366497570
  Medicare reassignment NPD
• Southern Rehab Staffing, LLC

  • Physical Therapist
  • Texarkana, TX
  • NPI 1851093777
  Medicare reassignment

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1336901479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5416 PLAZA DR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755031661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5416 PLAZA DR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755031661",
            "telephone_number": "903-794-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTERBURY",
        "first_name": "CLAY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1382271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garrett W Camp, FNP-C
• D Scott Campanini, M.D.
• Yesenia Canciobello, CRNA
• Amy M Cannon, APRN, FNP-C
• Karen Cannon, LPC
• Lauren Cantrell, MS CCC SLP
• Cornelia Ann Carden, CRNA
• Cardinal Interventional Pain Clinic PLLC
• Carl R Darnall Army Medical Center (Red River Army Depot)
• Heather Michelle Carlile

• Physical Therapist in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.