CLAY CANTERBURY (DPT) – Physical Therapist, NPI 1336901479

CLAY CANTERBURY (DPT) is a healthcare provider. based in Texarkana, Texas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 1382271 (TX). The NPI Number for CLAY CANTERBURY (DPT) is 1336901479

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
CLAY CANTERBURY (DPT)
NPI
1336901479
Phone
Not provided
Address
5416 PLAZA DR
Enumeration Date
24 January 2024
Last Update Date
24 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9036287700
Graduation Year
2023 (3 years ago)
PAC ID
0749623882
Group Practice PAC ID
7315985694
Professional Enrollment ID
I20240206002768
Address ID
TX755702918NE303XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

5,355 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

Provider Addresses for CLAY CANTERBURY (DPT)

  • 5416 PLAZA DR

    TEXARKANA, TX 755031661

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-02-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240206002768IPhysical Therapist In Private PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75503)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7315985694View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeAR
-AR
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX

Reviews

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Frequently asked questions

Does CLAY CANTERBURY (DPT) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — CLAY CANTERBURY (DPT) uses 1336901479.
Does the file indicate CLAY CANTERBURY (DPT) is practicing under active NPI?
Directory data currently reports CLAY CANTERBURY (DPT) as active.
What is CLAY CANTERBURY (DPT)'s specialty?
The listing groups CLAY CANTERBURY (DPT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is CLAY CANTERBURY (DPT) based?
CLAY CANTERBURY (DPT) is tied to Texarkana, Texas in the data we show; additional addresses may exist on the full record.
Why does CLAY CANTERBURY (DPT) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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