Active NPI
Krystal L McClearn, D.P.T.
- Physical Therapist
- Cleveland Heights, OH
National Provider Identifier
1114273679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 39138
- Practice address
- 10 Severance Cir
Cleveland Heights, OH 44118-1533 - Phone
- (216) 297-2787
- Fax
- (216) 297-2783
- NPI assigned
- Aug 1, 2012
- Sex
- Female
- 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 Therapist | 225100000X | PT 39138 | CA | Primary |
Addresses
Primary practice location
10 Severance Cir
Cleveland Heights, OH 44118-1533
Mailing address
10 Severance Cir
Cleveland Heights, OH 44118-1533
Phone (216) 297-2787
Other names 1
- Krystal L Daniels
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 39138 | CA | MD | Physical Therapist |
| 39138 | CA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eggleton & Langton Physical Therapy Management Services | Physical Therapist | Past | Accepting new patients |
Interoperability endpoints
- kmcclearn39115@ehrdirect.uhhospitals.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Calexico, CA
- NPI 1851347686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427760000000",
"number": "1114273679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 SEVERANCE CIR",
"city": "CLEVELAND HEIGHTS",
"state": "OH",
"postal_code": "441181533",
"telephone_number": "216-297-2787",
"fax_number": "216-297-2783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 SEVERANCE CIR",
"city": "CLEVELAND HEIGHTS",
"state": "OH",
"postal_code": "441181533",
"telephone_number": "216-297-2787",
"fax_number": "216-297-2783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLEARN",
"first_name": "KRYSTAL",
"middle_name": "L",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-01",
"last_updated": "2015-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 39138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRYSTAL",
"last_name": "DANIELS",
"middle_name": "L",
"credential": "D.P.T.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Cleveland Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.