Clayton Scott Davis, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA-015664 Issued in FL

Practice address

700 N Palmetto St
Leesburg, FL 34748-4419

Phone

(352) 323-5636

NPI assigned

Dec 20, 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

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": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801950274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31037 SECRETARIAT TRL",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347489681",
            "telephone_number": "352-360-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N PALMETTO ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347484419",
            "telephone_number": "352-323-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CLAYTON",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA-015664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abid Darr, MD
• Tulsi B Dave
• David O. Elliott M.D.PA
• David R Brunetti M D P a
• Carey Davis, PTA
• Marlana Davis
• Tarson De Mesquita Passos, PT
• Deaf Services of Lake County, Inc.
• Dolores Degiacomo, LCSW
• Jacqueline Christine Delaney, PTA

• Physical Therapy Assistant in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.