Active NPI
Joe Clayton, PTA
- Physical Therapy Assistant
- Fort Lauderdale, FL
National Provider Identifier
1356685853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 23697
- Practice address
- 3001 E Oakland Park Blvd
Fort Lauderdale, FL 33306-1806 - Phone
- (754) 212-1870
- Fax
- (954) 566-0293
- NPI assigned
- Nov 21, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 3670 | MD | |
| Physical Therapy Assistant | 225200000X | 23697 | FL | Primary |
Addresses
Primary practice location
3001 E Oakland Park Blvd
Fort Lauderdale, FL 33306-1806
Mailing address
3015 North Ocean Blvd
19E
Fort Lauderdale, FL 33308
Phone (410) 963-8621
Other practice location 1
4700 Harford Rd
Baltimore, MD 21214-3204
Phone (410) 675-3774
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23697 | FL | MD | Physical Therapy Assistant |
| 3670 | MD | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1356685853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3015 NORTH OCEAN BLVD",
"address_2": "19E",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "33308",
"telephone_number": "410-963-8621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 E OAKLAND PARK BLVD",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333061806",
"telephone_number": "754-212-1870",
"fax_number": "954-566-0293"
}
],
"practiceLocations": [
{
"address_1": "4700 Harford Rd",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212143204",
"country_code": "US",
"telephone_number": "410-675-3774",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLAYTON",
"first_name": "JOE",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-11-21",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MD",
"license": "3670",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "23697",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Lauderdale, FL
- Claudia Rieman, PH.D., LLC
- Jennifer Lynne Claus, MCAP, ICADC, CCTP
- Tiffany Lee Clausen, MD
- Annie Mildred Clavon, NURSE PRACTITIONER
- Clayton M. Berger, M.D., P.a.
- Clear Choice Physical Therapy, Inc.
- Clear Choice Physical Therapy, Inc. (Back to Health)
- Clear Choice Physical Therapy,Inc
- Clearsight South Opticians
- Jamila Cleary-Jones
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.