Clay Thomas Bales, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT24950 Issued in FL

Practice address

6248 103Rd St
Jacksonville, FL 32210-7733

Phone

(904) 573-0046

Fax

(904) 573-0772

NPI assigned

Sep 1, 2009

Last updated

Sep 1, 2009By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251763200000",
    "number": "1699908061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 OLD TOWN PKWY UNIT 2103",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320845828",
            "telephone_number": "904-392-5820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6248 103RD ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322107733",
            "telephone_number": "904-573-0046",
            "fax_number": "904-573-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALES",
        "first_name": "CLAY",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-01",
        "last_updated": "2009-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT24950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baldwin Pediatrix (Mango Pediatrics)
• Adrienne Baldwin
• Frederick D Baldwin, P.T.
• Gretchen Baldwin, PA-C
• Tobi Fox Baldwin, P.T.
• Mark Shelton Balester, PA-C
• Pelbreton Collymore Balfour Jr., MD
• Aman Bali, MD
• Jasmin Cruz Balisi
• Virginie Balisi, RPT

• Physical Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; 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.