Individual provider Active NPI

Clayton Lillywhite, DPT

  • Physical Therapist
  • Goodyear, AZ
National Provider Identifier
1396385043
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1626 N Litchfield Rd Ste 310
Goodyear, AZ 85395-1397
Phone
(623) 935-0734
Fax
(623) 935-0934
NPI assigned
Jan 10, 2020
Last updated
Jan 10, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X AZ Primary

Addresses

Primary practice location

1626 N Litchfield Rd Ste 310
Goodyear, AZ 85395-1397

Mailing address

9097 E Desert Cove Ave Ste 110
Scottsdale, AZ 85260-6276
Phone (480) 514-4948

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260202000790 CA Practitioner - Physical Therapist in Private Practice 3870921489 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Smart Health and WellnessGroup PAC ID 0749642585, 9 clinicians

Practice addresses (Care Compare)

27372 Aliso Creek Rd
Suite 200
Aliso Viejo, CA 92656-5339
Phone (949) 520-1012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Smart Health & Wellness Physical Therapist CurrentSince Nov 19, 2025 Accepting new patients
Smart Health & Wellness CurrentSince Nov 19, 2025 Accepting new patients
Access Telecare, PLLC Past Accepting new patients
Spooner Physical Therapy & Hand Rehab, PC Past Accepting new patients

Locations

27372 Aliso Creek Rd
#200
Aliso Viejo, CA 92656
Phone (949) 520-1012

27372 Aliso Creek Rd
Ste 200
Aliso Viejo, CA 92656
Phone (949) 520-1012

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1396385043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9097 E DESERT COVE AVE STE 110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606276",
            "telephone_number": "480-514-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 N LITCHFIELD RD STE 310",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853951397",
            "telephone_number": "623-935-0734",
            "fax_number": "623-935-0934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILLYWHITE",
        "first_name": "CLAYTON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-10",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.