Provider Demographics
NPI:1871168070
Name:PILKINGTON, CLAY W (PT)
Entity type:Individual
Prefix:DR
First Name:CLAY
Middle Name:W
Last Name:PILKINGTON
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4040 WINTER GARDEN VINELAND RD
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-9502
Mailing Address - Country:US
Mailing Address - Phone:407-573-3361
Mailing Address - Fax:407-395-8309
Practice Address - Street 1:4040 WINTER GARDEN VINELAND RD
Practice Address - Street 2:
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-9502
Practice Address - Country:US
Practice Address - Phone:407-573-3361
Practice Address - Fax:407-395-8309
Is Sole Proprietor?:No
Enumeration Date:2021-05-21
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL36606225100000X
FLPT366062251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist