Mildred Loretta McClure, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306000461 Issued in VA

Practice address

11059 Mount Calm Dr
Glade Spring, VA 24340-5011

Phone

(276) 608-2578

Fax

(276) 944-0952

NPI assigned

Oct 22, 2012

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• Many Stones Children'S Services, PLLC

  • Pediatric Physical Therapist
  • Glade Spring, VA
  • NPI 1689109688
  NPD (past)

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350864000000",
    "number": "1124371653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11059 MOUNT CALM DR",
            "city": "GLADE SPRING",
            "state": "VA",
            "postal_code": "243405011",
            "telephone_number": "276-608-2578",
            "fax_number": "276-944-0952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11059 MOUNT CALM DR",
            "city": "GLADE SPRING",
            "state": "VA",
            "postal_code": "243405011",
            "telephone_number": "276-608-2578",
            "fax_number": "276-944-0952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLURE",
        "first_name": "MILDRED",
        "middle_name": "LORETTA",
        "name_prefix": "Ms.",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-22",
        "last_updated": "2012-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306000461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew L Justus, PA-C
• Emily Kiser
• Emily Marie Leidig, AGPCNP BC-C
• Blakeley Madison Lewis, FNP-BC
• Many Stones Children'S Services, PLLC
• Joseph R. Morris, O.D.
• Robin C. Owens
• Douglas Allyn Pote, MD
• Christie Romberg, PHARMD
• Smyth County Community Hospital

• Physical Therapy Assistant in Glade Spring, VA
• Providers in Glade Spring, VA by specialty
• Physical Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.