Active NPI
Clayton McVay Jr., PT, DPT, LAT, ATC
- Physical Therapist
- Tampa, FL
National Provider Identifier
1952079907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 41919
- Practice address
- 609 S Howard Ave Ste 102
Tampa, FL 33606-2412 - Phone
- (334) 341-9015
- NPI assigned
- Sep 3, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2574 | AL | |
| Physical Therapist | 225100000X | 41919 | FL | Primary |
Addresses
Primary practice location
609 S Howard Ave Ste 102
Tampa, FL 33606-2412
Mailing address
3855 Swamp Lily CT
Lutz, FL 33559-7005
Phone (334) 341-9015
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41919 | FL | MD | Physical Therapist |
| 2574 | AL | MD | Speech-Language Pathologist |
Networks
- Optimum HealthCare HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722988800000",
"number": "1952079907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3855 SWAMP LILY CT",
"city": "LUTZ",
"state": "FL",
"postal_code": "335597005",
"telephone_number": "334-341-9015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 S HOWARD AVE STE 102",
"city": "TAMPA",
"state": "FL",
"postal_code": "336062412",
"telephone_number": "334-341-9015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCVAY",
"first_name": "CLAYTON",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "PT, DPT, LAT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-03",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AL",
"license": "2574",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "41919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.