Active NPI
Michael A McClain, PTA
- Physical Therapy Assistant
- Artesia, NM
National Provider Identifier
1104207943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A-1133
- Practice address
- 601 W Mahone Dr
Artesia, NM 88210-2046 - Phone
- (575) 746-2566
- Fax
- (575) 746-6260
- NPI assigned
- Jun 17, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A-1133 | NM | Primary |
Addresses
Primary practice location
601 W Mahone Dr
Artesia, NM 88210-2046
Mailing address
PO Box 2860
Alamogordo, NM 88311-2860
Phone (575) 439-1397
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A-1133 | NM | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434499200000",
"number": "1104207943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2860",
"city": "ALAMOGORDO",
"state": "NM",
"postal_code": "883112860",
"telephone_number": "575-439-1397",
"fax_number": "575-437-2622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 W MAHONE DR",
"city": "ARTESIA",
"state": "NM",
"postal_code": "882102046",
"telephone_number": "575-746-2566",
"fax_number": "575-746-6260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLAIN",
"first_name": "MICHAEL",
"middle_name": "A",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-17",
"last_updated": "2015-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NM",
"license": "A-1133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Artesia, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.