Active NPI
Clayton Lillywhite, DPT
- Physical Therapist
- Goodyear, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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, 2020
- Sex
- Male
- 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 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
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smart Health & Wellness | Physical Therapist | Current | Accepting new patients |
| Smart Health & Wellness | Current | 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.
-
- Orthopaedic Surgery Physician
- Aliso Viejo, CA
- NPI 1679227326
-
- Physical Therapist
- Aliso Viejo, CA
- NPI 1275300261
-
dba Spooner Surprise
- Physical Therapy Clinic/Center
- Surprise, AZ
- NPI 1114424868
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1013303080
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.