Ricky Lee Clayton Jr.

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA-3360 Issued in MS

Practice address

1632 County Road 121
New Albany, MS 38652-9164

Phone

(662) 266-2929

NPI assigned

Nov 24, 2023

Sex

Male

Sole proprietor

Yes

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": "1700784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700784000000",
    "number": "1831964428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1632 COUNTY ROAD 121",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386529164",
            "telephone_number": "662-266-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1632 COUNTY ROAD 121",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386529164",
            "telephone_number": "662-266-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYTON",
        "first_name": "RICKY",
        "middle_name": "LEE",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-24",
        "last_updated": "2023-11-24",
        "certification_date": "2023-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MS",
            "license": "OTA-3360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Troy Reuben Cappleman, MD
• Kathryn Cavitt, PHARMD
• Gary H Chandler, CRNA
• Brittany Clark, CFNP
• Lisa Clark
• William Benjamin Coker, PT
• Shelli I Coleman-Dodd, DO
• James Thomas Coleman Jr., D.M.D.
• Cook Transit, LLC
• Cooks Adult Day Care LLC

• Occupational Therapy Assistant in New Albany, MS
• Providers in New Albany, MS by specialty
• Occupational Therapy Assistant in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2023; 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.