Clayton W Hanson, LAT, ATC
Physical Medicine & Rehabilitation, Sports Medicine in Bradenton, FL. Individual provider (NPI-1).
NPI number1013553403
StatusActive
Last updated in NPPESNov 21, 2019
Details
- NPI
- 1013553403
- Entity type
- Individual (NPI-1)
- Name
- Clayton W Hanson
- Credential
- LAT, ATC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 21, 2019
- Last updated
- Nov 21, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2081S0010X | Physical Medicine & Rehabilitation, Sports Medicine | AL5326 | FL | Yes |
Practice location
5500 34th St WBradenton, FL 34210-3506
Phone 941-739-7476
Mailing address
5500 34th St WBradenton, FL 34210-3506
Phone 941-739-7476
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Other Sports Medicine (Physical Medicine & Rehabilitation) Physician providers in Bradenton, FL
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