Active NPI
Clayton Physical Therapy and Wellness, PLLC
- Physical Therapist
- Fenton, MI
National Provider Identifier
1649804410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- CLAYTON PHYSICAL THERAPY AND WELLNESS, PLLC
- Practice address
- 5775 Bullard Rd
Fenton, MI 48430-9431 - Phone
- (810) 354-5230
- NPI assigned
- Mar 2, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jamie Clayton, PT
- Title
- Owner/ Physical Therapist
- Phone
- (248) 425-9627
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
5775 Bullard Rd
Fenton, MI 48430-9431
Mailing address
17195 Silver Pkwy # 122
Fenton, MI 48430-3426
National Provider Directory
National Provider DirectoryLocations
17195 Silver Pkwy
Fenton, MI 48430
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583107200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1583107200000",
"number": "1649804410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17195 SILVER PKWY # 122",
"city": "FENTON",
"state": "MI",
"postal_code": "484303426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5775 BULLARD RD",
"city": "FENTON",
"state": "MI",
"postal_code": "484309431",
"telephone_number": "810-354-5230"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLAYTON PHYSICAL THERAPY AND WELLNESS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-02",
"last_updated": "2020-03-02",
"certification_date": "2020-03-02",
"status": "A",
"authorized_official_last_name": "CLAYTON",
"authorized_official_first_name": "JAMIE",
"authorized_official_title_or_position": "OWNER/ PHYSICAL THERAPIST",
"authorized_official_telephone_number": "248-425-9627",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fenton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.