MEDICARE: CLAYTON MILLER PTA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant	9094	TN
2	225200000X	Physical Therapy Assistant	160010512	IL

General Provider Information

NPI Number	:	1912831322
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAYTON MILLER PTA

Provider Business Mailing Address
First Line	:	4501 TILLERY RD
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37912-5519
Country	:	US
Telephone Number	:	618-813-8909
Fax Number	:

Provider Business Practice Location Address
First Line	:	4501 TILLERY RD
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37912-5519
Country	:	US
Telephone Number	:	618-813-8909
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2026
Last Update Date	:	06/10/2026

Similar Medicare Providers

1982905451 — SARAH HOLLY DAVIS DMD
Practice Location Address:

7731 KINGSTON PIKE
KNOXVILLE, TN
37919-5519

Practice Phone: 865-525-4422
Practice Fax: 865-690-4347

1467714584 — ASPEN DENTAL
Practice Location Address:

7731 KINGSTON PIKE , 102
KNOXVILLE, TN
37919-5519

Practice Phone: 865-525-4422
Practice Fax:

1174975205 — DR. NAKUL ANIL PATEL D.D.S.
Practice Location Address:

7731 KINGSTON PIKE , #102
KNOXVILLE, TN
37919-5519

Practice Phone: 865-282-4017
Practice Fax:

1407780323 — DAVID BRANDON LUTTRELL
Practice Location Address:

5104 CENTRAL AVENUE PIKE
KNOXVILLE, TN
37912-3517

Practice Phone: 865-250-6146
Practice Fax:

1376475293 — TAYLOR BRYNN FANN
Practice Location Address:

5645 MERCHANTS CENTER BLVD
KNOXVILLE, TN
37912-3470

Practice Phone: 865-257-9982
Practice Fax:

1184622441 — BRUCE DEVIN GILLILAND O.D.
Practice Location Address:

715 CALLAHAN DR
KNOXVILLE, TN
37912-1302

Practice Phone: 865-687-1232
Practice Fax: 865-687-8256

Directions to “ CLAYTON MILLER PTA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.