Active NPI
Tiffany L Clayton, DPT
- Orthopedic Physical Therapist
- Clanton, AL
National Provider Identifier
1861934002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PTH8129
- Practice address
- 110 Baker Ave
Clanton, AL 35045-2337 - Phone
- (205) 280-6450
- Fax
- (205) 280-6451
- NPI assigned
- Nov 4, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PTH8129 | AL | Primary |
Addresses
Primary practice location
110 Baker Ave
Clanton, AL 35045-2337
Mailing address
PO Box 1200
Clanton, AL 35046-1200
Phone (205) 280-6450
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 511-85227 | Other | AL | BLUE CROSS BLUE SHEILD NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH8129 | AL | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Fitness and Wellness | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Clanton, AL
- NPI 1669478152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486684800000",
"number": "1861934002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1200",
"city": "CLANTON",
"state": "AL",
"postal_code": "350461200",
"telephone_number": "205-280-6450",
"fax_number": "205-280-6451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 BAKER AVE",
"city": "CLANTON",
"state": "AL",
"postal_code": "350452337",
"telephone_number": "205-280-6450",
"fax_number": "205-280-6451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAYTON",
"first_name": "TIFFANY",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-04",
"last_updated": "2017-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "AL",
"license": "PTH8129",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD NUMBER",
"identifier": "511-85227",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clanton, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.