Individual provider Active NPI

Clinton Jay Titone

  • Physical Therapy Assistant
  • Houston, TX
National Provider Identifier
1881243798
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2131050
Practice address
19200 Space Center Blvd Apt 1623
Houston, TX 77058-3852
Phone
(575) 644-3269
NPI assigned
Sep 4, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2131050 Primary

Addresses

Primary practice location

19200 Space Center Blvd Apt 1623
Houston, TX 77058-3852

Mailing address

19200 Space Center Blvd Apt 1623
Houston, TX 77058-3852
Phone (575) 644-3269

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

NPI Registry JSON

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1881243798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19200 SPACE CENTER BLVD APT 1623",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583852",
            "telephone_number": "575-644-3269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19200 SPACE CENTER BLVD APT 1623",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583852",
            "telephone_number": "575-644-3269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TITONE",
        "first_name": "CLINTON",
        "middle_name": "JAY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": "2131050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.