Individual provider Active NPI

Clinton Erasmus, PTA

  • Physical Therapist
  • Lauderdale by the Sea, FL
National Provider Identifier
1518267541
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTA19828 Issued in FL
Practice address
4747 N Ocean Drive
Suite 261
Lauderdale by the Sea, FL 33308-2956
Phone
(954) 545-4922
Fax
(954) 545-4923
NPI assigned
Oct 25, 2010
Last updated
May 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 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 PTA19828 FL Primary

Addresses

Primary practice location

4747 N Ocean Drive
Suite 261
Lauderdale by the Sea, FL 33308-2956

Mailing address

4747 N Ocean Drive
Suite 261
Lauderdale by the Sea, FL 33308-2956
Phone (954) 545-4922

Other identifiers 1

IdentifierTypeStateIssuer
PTA19828OtherFLLICENSE

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

LicenseStateTypeSpecialty
PTA19828FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Plus by the Sea LLC Physical Therapist CurrentSince Apr 29, 2012 Accepting new patients

Locations

4747 N Ocean Dr
Ste 261
Lauderdale by the Sea, FL 33308
Phone (954) 545-4922

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1518267541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 N OCEAN DRIVE",
            "address_2": "SUITE 261",
            "city": "LAUDERDALE BY THE SEA",
            "state": "FL",
            "postal_code": "333082956",
            "telephone_number": "954-545-4922",
            "fax_number": "954-545-4923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 N OCEAN DRIVE",
            "address_2": "SUITE 261",
            "city": "LAUDERDALE BY THE SEA",
            "state": "FL",
            "postal_code": "333082956",
            "telephone_number": "954-545-4922",
            "fax_number": "954-545-4923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERASMUS",
        "first_name": "CLINTON",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-25",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PTA19828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PTA19828",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale by the Sea, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; 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.