IndividualActive
Roderick Clayton, PHYSICAL THERAPIST
NPI 1720058050 · Sports Physical Therapist · Portsmouth, VA
Provider details
- NPI number
- 1720058050
- Entity type
- Individual
- Primary specialty
- Sports Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PHYSICAL THERAPIST
- Sex
- Male
- Sole proprietor
- No
- License
- PT001242 (GA)
Practice location
620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Phone: (757) 953-1497
Fax: (757) 953-0809
Mailing address
6800 Overlook Ct
Suffolk, VA 23435-2936
Registry dates
- Enumerated
- 2006-01-26
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.