Roderick Lyle Clayton in Portsmouth - Sports
Roderick Lyle Clayton - NPI 1720058050
Roderick Lyle Clayton is a Sports in Portsmouth, Virginia. Roderick Lyle Clayton practices all healthcare services and medical treatments related to Sports. The NPI Number for Roderick Lyle Clayton is 1720058050. The last update date is 2007-07-08.
Roderick Lyle Clayton's current location address is 620 John Paul Jones Cir, Portsmouth, Virginia. You can contact this provider via phone number 7579531497 and fax number 7579530809. The mailing address for Roderick Lyle Clayton is 620 John Paul Jones Cir, Portsmouth, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roderick Lyle Clayton |
|---|---|
| Address | 620 John Paul Jones Cir, Portsmouth, Virginia |
| Phone Number | 7579531497 |
| Fax Number | 7579530809 |
| Sole Proprietor | N |
| Credentials | PHYSICAL T |
NPI Number Detail
| NPI Number | 1720058050 |
|---|---|
| Provider Enumeration Date | 2006-01-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 620 John Paul Jones Cir |
|---|---|
| City | Portsmouth |
| State | Virginia (VA) |
| Post Code | 237082111 |
| Phone Number | 7579531497 |
| Fax Number | 7579530809 |
Provider's Primary Taxonomy Detail
| Speciality | Sports |
|---|---|
| Taxonomy | 2251S0007X |
| Licence No | PT001242 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, patholog |
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Post Comment/ Review Below
What is the unique identifier code issued to Roderick Lyle Clayton by the Centers for Medicare & Medicaid Services?
The Roderick Lyle Clayton has been assigned the NPI (National Provider Identifier) 1720058050. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Roderick Lyle Clayton's physical address?
The Roderick Lyle Clayton is physically located at 620 John Paul Jones Cir, in the city of Portsmouth, VA, with the postal code 237082111.
What is the area of specialization for Roderick Lyle Clayton, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Roderick Lyle Clayton is Sports, and the corresponding taxonomy code that categorizes this area of expertise is 2251S0007X.
On what date did Roderick Lyle Clayton receive its 1720058050 assignment from the Centers for Medicare & Medicaid Services?
The Roderick Lyle Clayton was assigned its 1720058050 on 2006-01-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Roderick Lyle Clayton, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Roderick Lyle Clayton, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.