Karen Rose McClanahan, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

117537 Issued in MO

Practice address

1202 Heartland Rd
Saint Joseph, MO 64506-3492

Phone

(816) 671-8506

NPI assigned

Apr 24, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093934523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 N 23RD ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 HEARTLAND RD",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063492",
            "telephone_number": "816-671-8506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLANAHAN",
        "first_name": "KAREN",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "117537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig Mattox, D.C.
• Dixie Leah Mattthews
• Theresa Rene Maxwell, RN, MSN, FNP
• Chinakasiobi Mbata, DDS
• Brittany Shea McCan, FNP-BC
• Harold McClellan, LCSW
• Karen McClure
• Michael P McClure, D.D.S.
• Francis Patrick McCormick, MD
• Karen Elizabeth McCoy, FNP-C

• Physical Therapy Assistant in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Physical Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.