Staceyann Monique Claxton, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

030905-1 Issued in NY

Practice address

110 Brooklyn Ave Apt 4U
Freeport, NY 11520-2991

Phone

(516) 984-3231

Fax

(516) 414-1877

NPI assigned

Jun 23, 2011

Last updated

Jun 23, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Markowitz Speech and Swallowing Therapy P.C.

  • Speech-Language Pathologist
  • Brooklyn, NY
  • NPI 1629663307

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308787200000",
    "number": "1508152984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 BROOKLYN AVE APT 4U",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115202991",
            "telephone_number": "516-984-3231",
            "fax_number": "516-414-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BROOKLYN AVE APT 4U",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115202991",
            "telephone_number": "516-984-3231",
            "fax_number": "516-414-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAXTON",
        "first_name": "STACEYANN",
        "middle_name": "MONIQUE",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-23",
        "last_updated": "2011-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "030905-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chubbuck's Pharmacy Inc.
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• Tanya Nadene Clarke Carrasco
• Carol Patricia Clunie
• Coast 2 Coast Enterprises (Coast 2 Coast Transportation)
• Lois Ellen Cohen, LCSW
• Judy Patricia Colesbailey
• Atalyia Coley

• Physical Therapist in Freeport, NY
• Providers in Freeport, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.