Active NPI
Clay James Gardiner, PT
- Physical Therapist
- Tampa, FL
National Provider Identifier
1457132847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT40840
- Practice address
- 7171 N Dale Mabry Hwy
Tampa, FL 33614-2665 - Phone
- (813) 932-2222
- NPI assigned
- Oct 11, 2023
- 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 | PT40840 | FL | Primary |
Addresses
Primary practice location
7171 N Dale Mabry Hwy
Tampa, FL 33614-2665
Mailing address
3630 Monarch Breeze Dr Apt 208
Riverview, FL 33578-5481
Phone (828) 505-6407
Other practice location 1
8620 S Tamiami Trl Ste A&c
Sarasota, FL 34238-3049
Phone (941) 269-2183
Other practice location 2
427 S Parsons Ave Ste 110
Brandon, FL 33511-5252
Phone (813) 669-7017
Other practice location 3
139 S Pebble Beach Blvd Ste 200
Sun City Center, FL 33573-4711
Phone (813) 536-5892
Other practice location 4
4100 W Kennedy Blvd Ste 114
Tampa, FL 33609-2243
Phone (813) 797-4343
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 |
|---|---|---|---|
| PT40840 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697414400000",
"number": "1457132847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3630 MONARCH BREEZE DR APT 208",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335785481",
"telephone_number": "828-505-6407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7171 N DALE MABRY HWY",
"city": "TAMPA",
"state": "FL",
"postal_code": "336142665",
"telephone_number": "813-932-2222"
}
],
"practiceLocations": [
{
"address_1": "8620 S Tamiami Trl Ste A&c",
"address_purpose": "LOCATION",
"city": "Sarasota",
"state": "FL",
"postal_code": "342383049",
"country_code": "US",
"telephone_number": "941-269-2183",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "427 S Parsons Ave Ste 110",
"address_purpose": "LOCATION",
"city": "Brandon",
"state": "FL",
"postal_code": "335115252",
"country_code": "US",
"telephone_number": "813-669-7017",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "139 S Pebble Beach Blvd Ste 200",
"address_purpose": "LOCATION",
"city": "Sun City Center",
"state": "FL",
"postal_code": "335734711",
"country_code": "US",
"telephone_number": "813-536-5892",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4100 W Kennedy Blvd Ste 114",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336092243",
"country_code": "US",
"telephone_number": "813-797-4343",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARDINER",
"first_name": "CLAY",
"middle_name": "JAMES",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-10-11",
"last_updated": "2023-10-16",
"certification_date": "2023-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT40840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.