Northern Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

011013 Issued in NY

Legal business name

NORTHERN PHYSICAL THERAPY, LLC

Practice address

203 State St
Ogdensburg, NY 13669-1403

Phone

(315) 393-2024

Fax

(315) 393-2025

NPI assigned

Sep 26, 2006

Last updated

Jun 23, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jeanine Ruth McLellan, PTNPI 1942301635

Title

Owner

Phone

(315) 393-2024

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Tax ID family

Northern Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Northern Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Ogdensburg, NY
  • NPI 1609297746
  NPD tax ID

Locations

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeanine Ruth McLellan, PT

  • Physical Therapist
  • Ogdensburg, NY
  • NPI 1942301635
  Medicare reassignment Care Compare group NPD Authorized official
• Emily Teneyck, DPT

  • Physical Medicine & Rehabilitation Physician
  • Ogdensburg, NY
  • NPI 1639658230
  Medicare reassignment Care Compare group NPD
• Melissa A Coombs, DPT

  • Physical Therapist
  • Carthage, NY
  • NPI 1447745732
  Medicare reassignment NPD
• Jeffrey H Kaplan, PT

  • Physical Therapist
  • Watertown, NY
  • NPI 1780842377
  Medicare reassignment NPD
• Mindy Kaplan, PT

  • Physical Therapist
  • Watertown, NY
  • NPI 1952569543
  Medicare reassignment NPD
• Jennifer Kean, PT

  • Physical Therapist
  • Evans Mills, NY
  • NPI 1649797788
  Medicare reassignment NPD
• Joshua Mannigan, PT

  • Physical Therapist
  • Geneva, NY
  • NPI 1457651697
  Medicare reassignment NPD
• Carli J. Obermeyer, P.T.

  • Physical Therapist
  • Rock Hill, NY
  • NPI 1639356561
  Medicare reassignment NPD
• Jennifer Lynn Snyder, PT

  • Physical Therapist
  • Canton, NY
  • NPI 1467110403

  Single Specialty

  Medicare reassignment NPD
• Claire Marie Sweeney, DPT

  • Physical Therapist
  • Greenwood, SC
  • NPI 1275085276

  NY

  Medicare reassignment NPD
• Jennifer Shields, DPT

  • Physical Therapist
  • Webster, NY
  • NPI 1366927162
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435017600000",
    "number": "1174624969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 STATE ST",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136691403",
            "telephone_number": "315-393-2024",
            "fax_number": "315-393-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 STATE ST",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136691403",
            "telephone_number": "315-393-2024",
            "fax_number": "315-393-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2015-06-23",
        "status": "A",
        "authorized_official_last_name": "MCLELLAN",
        "authorized_official_first_name": "JEANINE",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-393-2024",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "011013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Country Anesthesia, PC
• North Country Family Health NP PLLC
• North Country Ophthalmology Associates PC (The Optical Outlet)
• Northern Lights Health Care Partnership Inc (Northern Lights Home Health Care)
• Northern Orthopedic Laboratory, Inc.
• Northern Physical Therapy, PLLC
• Danielle Noyes, LMSW
• Doris Anne Nugent
• Monica M Nuyens, MD
• Nys Office of Mental Health

• Physical Therapist in Ogdensburg, NY
• Providers in Ogdensburg, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; 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.