Bruce Gary Clayton

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00002391 Issued in WA

Practice address

3207 Rainier Ave S
Seattle, WA 98144-6031

Phone

(206) 722-2205

Fax

(206) 722-5457

NPI assigned

Sep 25, 2006

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

Other identifiers 5

Other names 1

• Mr. Bruce Gary Clayton Other name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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 and National Provider Directory roles.

• Columbia Physical Therapy Services, Inc,

  • Physical Therapy Clinic/Center
  • Seattle, WA
  • NPI 1457542466
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201132800000",
    "number": "1770684698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13575 NE 54TH PL",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980051037",
            "telephone_number": "206-722-2205",
            "fax_number": "206-722-5457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3207 RAINIER AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981446031",
            "telephone_number": "206-722-2205",
            "fax_number": "206-722-5457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYTON",
        "first_name": "BRUCE",
        "middle_name": "GARY",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2008-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00002391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5632526",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G8334427",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "CL3893",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE L & I",
            "identifier": "0038316",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE CRIME V",
            "identifier": "8918109",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRUCE",
            "last_name": "CLAYTON",
            "middle_name": "GARY",
            "prefix": "MR.",
            "credential": "PHYSICAL THERAPIST",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Samantha Teresa Clay
• Shelly Lorraine Clayburn, LPTA
• Lawrence A Clayman, DC
• Cynthia Clayton-Butler, CDP
• Alicia Rae Clayton
• Christina Clayton, LICSW, SUDP
• Janelle La'Vette Clayton, D.C.
• Wrenna Lavette Clayton
• Clear Hearing and Audiology, PLLC
• Clear in Home Care PLLC

• Physical Therapist in Seattle, WA
• Providers in Seattle, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; 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.