Active NPI
Andrea Clayton, DPT
- Physical Therapist
- Summerville, SC
National Provider Identifier
1982948568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6890
- Practice address
- 440 Old Trolley Rd Ste D
Summerville, SC 29485-5685 - Phone
- (843) 871-3522
- Fax
- (843) 871-3523
- NPI assigned
- Nov 20, 2012
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6890 | SC | Primary |
Addresses
Primary practice location
440 Old Trolley Rd Ste D
Summerville, SC 29485-5685
Mailing address
440 Old Trolley Rd Ste D
Summerville, SC 29485-5685
Phone (843) 871-3522
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 |
|---|---|---|---|
| 6890 | SC | MD | Prosthetics Case Management |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476144000000",
"number": "1982948568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 OLD TROLLEY RD STE D",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294855685",
"telephone_number": "843-871-3522",
"fax_number": "843-871-3523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 OLD TROLLEY RD STE D",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294855685",
"telephone_number": "843-871-3522",
"fax_number": "843-871-3523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAYTON",
"first_name": "ANDREA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-20",
"last_updated": "2016-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "6890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.