Active NPI
Rufena Lynn Clayton, PTA
- Physical Therapy Assistant
- Selmer, TN
National Provider Identifier
1386710291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- TN0000003456
- Practice address
- 835 E Poplar Ave
Selmer, TN 38375-1832 - Phone
- (731) 645-3201
- NPI assigned
- Nov 24, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 Therapy Assistant | 225200000X | TN0000003456 | TN | Primary |
Addresses
Primary practice location
835 E Poplar Ave
Selmer, TN 38375-1832
Mailing address
73 Twin View CV
Selmer, TN 38375-6069
Phone (731) 645-5113
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 |
|---|---|---|---|
| TN0000003456 | TN | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386710291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "73 TWIN VIEW CV",
"city": "SELMER",
"state": "TN",
"postal_code": "383756069",
"telephone_number": "731-645-5113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "835 E POPLAR AVE",
"city": "SELMER",
"state": "TN",
"postal_code": "383751832",
"telephone_number": "731-645-3201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAYTON",
"first_name": "RUFENA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TN",
"license": "TN0000003456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Selmer, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.