Clayton Henson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10000 Issued in AL

Practice address

731 Dallas Ave
Selma, AL 36701-5452

Phone

(334) 872-4778

NPI assigned

Sep 30, 2020

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

Enrolled in AK

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Revolution Sport and Spine Therapy LLCGroup PAC ID 6507146412, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Revolution Sport & Spine Therapy LLC

  • Orthopedic Physical Therapist
  • Soldotna, AK
  • NPI 1598215170
  Medicare reassignment Care Compare group NPD
• ENT Consultants

  • Otolaryngic Allergy Physician
  • Selma, AL
  • NPI 1538220736
  NPD
• Borealis Chiropractic Inc

  • Chiropractor
  • Soldotna, AK
  • NPI 1558800607
  NPD

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

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1457968745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1391",
            "city": "BIG TIMBER",
            "state": "MT",
            "postal_code": "590111391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 DALLAS AVE",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367015452",
            "telephone_number": "334-872-4778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSON",
        "first_name": "CLAYTON",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-30",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "10000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henderson Chiropractic Inc
• Allen Randolph Henderson, DC
• Erica Henderson
• John David Henderson, D.M.D.
• Pelham H Henry Jr., DMD
• Letevia Herlong, FNP
• Charles Herrington, RKT
• Phillip Hicks, MD
• Jennifer Hightower, CRNP
• David W Hodo, MD

• Physical Therapist in Selma, AL
• Providers in Selma, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.