Individual provider Active NPI

Clayton McCarthy, DPT

  • Physical Therapist
  • Cadillac, MI
National Provider Identifier
1487530416
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501303964 Issued in MI
Practice address
8872 Professional Dr Ste C
Cadillac, MI 49601-8482
Phone
(231) 876-0010
Fax
(231) 876-0241
NPI assigned
Aug 14, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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 5501303964 MI Primary

Addresses

Primary practice location

8872 Professional Dr Ste C
Cadillac, MI 49601-8482

Mailing address

8872 Professional Dr Ste C
Cadillac, MI 49601-8482
Phone (231) 876-0010

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250918000310 MI Practitioner - Physical Therapist in Private Practice 0042714552 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dynamic Physical Therapy IncGroup PAC ID 8628986643, 11 clinicians

Practice addresses (Care Compare)

8872 Professional Dr
Suite C
Cadillac, MI 49601-8482
Phone (231) 876-0010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501303964MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Physical Therapy Inc Physical Therapist CurrentSince Aug 18, 2025 Accepting new patients

Locations

8872 Professional Dr
Ste C
Cadillac, MI 49601
Phone (231) 876-0010

1806 E Parkdale Ave
Ste 2
Manistee, MI 49660
Phone (231) 723-5479

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1755129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1487530416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8872 PROFESSIONAL DR STE C",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496018482",
            "telephone_number": "231-876-0010",
            "fax_number": "231-876-0241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8872 PROFESSIONAL DR STE C",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496018482",
            "telephone_number": "231-876-0010",
            "fax_number": "231-876-0241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "CLAYTON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-14",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501303964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cadillac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; 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.