MR. RODERICK LYLE CLAYTON (NPI# 1720058050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720058050 |
| Entity Type | Individual |
| Full Name | MR. RODERICK LYLE CLAYTON |
| Credential | PHYSICAL THERAPIST |
| Practice Address |
620 John Paul Jones Cir Portsmouth VA 23708-2111 |
| Mailing Address |
6800 Overlook Ct Suffolk VA 23435-2936 |
| Practice Telephone | 7579531497 |
| Practice Fax Number | 7579530809 |
| Mailing Telephone | 7576869196 |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251S0007X |
Physical Therapist Specialization: Sports |
PT001242 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
620 JOHN PAUL JONES CIR |
| City | PORTSMOUTH |
| State | VA |
| Zip Code | 23708-2111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427054840 | Debra Tooke Crowell | Registered Nurse | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2005-06-21 |
| 1659970424 | Jennifer T Birchwale | Student in an Organized Health Care Education/Training Program | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-10-22 |
| 1861091985 | Carin Kimberly Teeters | Psychologist | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-10-20 |
| 1275130825 | Dartangion Pierre Walker | Dental Hygienist | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-10-07 |
| 1750996054 | Kevin Wilfong | Psychologist | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-09-14 |
| 1598379901 | Paula Shepard | Psychologist | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-09-02 |
| 1578177234 | Rebekah Gunter | Psychologist | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-09-01 |
| 1225641863 | Dylan Quoc-chuong Vu | Dentist | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-08-24 |
| 1467060111 | Ili Yuan | Dentist | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-07-20 |
| 1750909172 | Marsades Ceasar | Social Worker | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932724754 | William Dowling | Student in an Organized Health Care Education/Training Program | 260 John Paul Jones Circle, Fpo, AA 23708 | 2020-06-09 |
| 1760003156 | Kylie Miller | Student in an Organized Health Care Education/Training Program | 600 John Paul Jones Circle, Portsmouth, VA 23708 | 2020-04-27 |
| 1750900304 | Jonathan David Hickman | Student in an Organized Health Care Education/Training Program | Nmcp 620 John Paul Jones Cir., Bldg 3, Portsmouth, VA 23708 | 2020-04-14 |
| 1447716550 | Nathan Le Holterman | Student in an Organized Health Care Education/Training Program | Navy Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708 | 2019-02-13 |
| 1467930545 | Jonathan Volland | Dentist | Naval Medical Center - 620 John Paul Jones Cr, Portsmouth, VA 23708 | 2018-08-01 |
| 1629570171 | Brendan James O'shea | Student in an Organized Health Care Education/Training Program | 690 John Paul Jones Circle, Fpo, AA 23708 | 2018-03-01 |
| 1467909077 | Patricia Hicks Smith | Nurse Practitioner | 620 John Paul Jones Blvd., Naval Medical Center Portsmouth, Portsmouth, VA 23708 | 2016-09-01 |
| 1790139392 | Lauren Pitters | Student in an Organized Health Care Education/Training Program | 620 John Paul Jones Circle Drive, Naval Medical Center Portsmouth, Portsmouth, VA 23708 | 2016-04-20 |
| 1841683745 | Karrie Anne Brondell Walker | Student in an Organized Health Care Education/Training Program | 620 John Paul Jones, Naval Medical Center Portsmouth, Portsmouth, VA 23708 | 2015-03-17 |
| 1962821967 | Jody Manners | Psychiatry & Neurology | 620 John Paul Jones Cir # 2e, Portsmouth, VA 23708 | 2014-04-08 |
| Find all providers in zip 23708 | ||||
| Taxonomy Code | 2251S0007X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225654924 | Strength and Sport Physical Therapy, LLC | Physical Therapist | 2477 E Main Rd, Portsmouth, RI 02871-4027 | 2020-06-19 |
| 1114145794 | The Center for Bodies In Balance, LLC | Physical Therapist | 1 Greenleaf Woods Dr, Suite 101, Portsmouth, NH 03801-5437 | 2007-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750981304 | Eryn Carlisle | Physical Therapist | 3309 Suffolk Rd, Richmond, VA 23227-4724 | 2020-10-31 |
| 1033751300 | Kathryn R. Wason | Physical Therapist | 285 Hydraulic Ridge Road, Suite 4, Charlottesville, VA 22901-8126 | 2019-10-08 |
| 1326485814 | Tracy Oakes | Physical Therapist | 7006 River Rd Apt C, Newport News, VA 23607-1852 | 2013-05-24 |
| 1740424191 | Ashley Deboise | Physical Therapist | 3296 Dam Neck Rd, Virginia Beach, VA 23453-2614 | 2009-04-29 |
| 1659470680 | Joseph Harold Gieck | Physical Therapist | 1230 Cedars Ct Ste A, Charlottesville, VA 22903-5800 | 2006-09-22 |
| 1376879130 | Stephen D Smith | Physical Therapist | 6355 Willowfield Way, Springfield, VA 22150-1038 | 2006-08-20 |
| 1356315097 | Emilie Schmidt | Physical Therapist | 2133 Montgomery Ave, Woodbridge, VA 22191-2655 | 2006-02-16 |
| 1912997974 | Stephen John Stoecker | Physical Therapist | 3259 Catlin Avenue, Quantico, VA 22134-6050 | 2005-10-21 |
| 1871587675 | Michael Higgins | Physical Therapist | 210 Emmet St S, Charlottesville, VA 22903-2455 | 2005-09-07 |
| 1255938098 | Malcolm James Lickers | Physical Therapist | 8191 Staples Mill Rd, Henrico, VA 23228-2751 | 2020-10-05 |
| Find all providers with the same taxonomy | ||||
| City | PORTSMOUTH |
| Zip Code | 23708 |
Please comment or provide details below to improve the information on MR. RODERICK LYLE CLAYTON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.