Individual provider Active NPI

Linda Marie McClanahan, PT

  • Orthopedic Physical Therapist
  • Albuquerque, NM
National Provider Identifier
1154426971
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
424 Issued in NM
Practice address
9201 Montgomery Blvd NE
Suite 302
Albuquerque, NM 87111-2468
Phone
(505) 293-6262
Fax
(505) 293-6622
NPI assigned
Sep 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 424 NM Primary

Addresses

Primary practice location

9201 Montgomery Blvd NE
Suite 302
Albuquerque, NM 87111-2468

Mailing address

9201 Montgomery Blvd NE
Suite 302
Albuquerque, NM 87111-2468
Phone (505) 293-6262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201020000495 NM Practitioner - Physical Therapist in Private Practice 5890115521

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
424NMMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Hands on Physical Therapy PC Orthopedic CurrentSince Sep 25, 2020 Accepting new patients

Locations

9201 Montgomery Blvd NE
Ste 302
Albuquerque, NM 87111
Phone (505) 293-6262

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.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154426971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 MONTGOMERY BLVD NE",
            "address_2": "SUITE 302",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112468",
            "telephone_number": "505-293-6262",
            "fax_number": "505-293-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 MONTGOMERY BLVD NE",
            "address_2": "SUITE 302",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112468",
            "telephone_number": "505-293-6262",
            "fax_number": "505-293-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLANAHAN",
        "first_name": "LINDA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NM",
            "license": "424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.