Provider Demographics
NPI:1801620208
Name:CHAPIN, CLAYTON (DPT)
Entity type:Individual
Prefix:
First Name:CLAYTON
Middle Name:
Last Name:CHAPIN
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2310 MALL RD
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35630-2891
Mailing Address - Country:US
Mailing Address - Phone:256-764-4242
Mailing Address - Fax:256-764-4343
Practice Address - Street 1:48 MARKET SQ
Practice Address - Street 2:
Practice Address - City:ROGERSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35652-8008
Practice Address - Country:US
Practice Address - Phone:256-247-5000
Practice Address - Fax:256-247-5005
Is Sole Proprietor?:No
Enumeration Date:2024-08-28
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH11975225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist