Calvin Clay
Individual provider Active NPI Physical Therapy Assistant · Ellenboro, NC
NPI 1750719720 · NPPES record last updated Oct 29, 2013
Key facts
- NPI
- 1750719720
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- A4507 (NC)
- Practice address
- 135 High Cotton Dr
Ellenboro, NC 28040-7322 - Phone
- (828) 453-8181
- NPI assigned
- Oct 29, 2013
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A4507 | NC | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A4507 | NC | Yes |
Addresses
Primary practice location
135 High Cotton Dr
Ellenboro, NC 28040-7322
Mailing address
135 High Cotton Dr
Ellenboro, NC 28040-7322
Phone (828) 453-8181
Other providers in Ellenboro, NC
- Christine P Bach
- Donna Corey Baldwin
- Commonwood Home
- Curavera Management LLC
- Tandi Lepree Day
- Ayumi Deyton
- Directcare
All providers in Ellenboro, NC · Physical Therapy Assistant in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.