Clayton L Nunley, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

3009 Issued in OK

Practice address

901 S 5TH Ave
Madill, OK 73446-3640

Phone

(580) 795-3384

NPI assigned

Nov 16, 2018

Last updated

Nov 16, 2018By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1542326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542326400000",
    "number": "1396214516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 BUTTERFIELD TRL",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747018434",
            "telephone_number": "580-380-3326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 S 5TH AVE",
            "city": "MADILL",
            "state": "OK",
            "postal_code": "734463640",
            "telephone_number": "580-795-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNLEY",
        "first_name": "CLAYTON",
        "middle_name": "L",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-16",
        "last_updated": "2018-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OK",
            "license": "3009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angie L Munholland, LPC
• Judy Gayle Nabors, M.ED. LPC
• Jamie Leigh Navarez
• Michael Nietling
• Erin Rose Nouhan
• Oklahoma Emergency Physician Partners PLLC
• Osu Center for Health Sciences (Osu-Aj Elite Integral Staffing, LLC-Madill)
• Osu Center for Health Sciences (Osu-Aj Madill Family Medicine Clinic)
• Victoria Lynn Pacheco
• Melissa Parker

• Physical Therapy Assistant in Madill, OK
• Providers in Madill, OK by specialty
• Physical Therapy Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.

Verify at the official NPI Registry.