Clayton R Roland, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

15737 Issued in TN

Practice address

465 N Park 40 Blvd
Knoxville, TN 37923-3615

Phone

(653) 575-0888

NPI assigned

Jul 8, 2024

Last updated

Jul 8, 2024By 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

Enrolled in TN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prompt Physical Therapy Inc.Group PAC ID 4981675790, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Prompt Physical Therapy Inc.

  • Physical Therapist
  • Knoxville, TN
  • NPI 1245317783
  Medicare reassignment Care Compare group NPD
• Knox Physical Therapy, LLC

  dba Knoxville Physical Therapy

  • Physical Therapist
  • Knoxville, TN
  • NPI 1578079372
  Medicare reassignment NPD
• Forward Physical Therapy,LLC

  • Physical Therapy Clinic/Center
  • Knoxville, TN
  • NPI 1114229226
  NPD

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1740026822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 N PARK 40 BLVD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379233615",
            "telephone_number": "865-357-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 N PARK 40 BLVD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379233615",
            "telephone_number": "653-575-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLAND",
        "first_name": "CLAYTON",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "15737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael James Rohrer
• David Roife, M.D.
• Julia Roife
• Rata Rokhshad
• Jennifer Lea Rokisky, CPRS
• Derrick A Roland, DPM
• Rebecca Sue Roland, MD
• James Jay Rolfe
• Carolyn L Roller, OT
• Carlos A Rollhauser, MD

• Physical Therapist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.