Active NPI
Judy Ann McClanahan, DPT
- Physical Therapist
- Bluefield, VA
National Provider Identifier
1255171419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305204434
- Practice address
- 2131 College Ave
Bluefield, VA 24605-2002 - Phone
- (276) 352-4896
- NPI assigned
- May 27, 2024
- 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 | 2305204434 | VA | Primary |
Addresses
Primary practice location
2131 College Ave
Bluefield, VA 24605-2002
Mailing address
PO Box 736
North Tazewell, VA 24630-0736
Phone (276) 287-0608
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 |
|---|---|---|---|
| 2305204434 | VA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716768000000",
"number": "1255171419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 736",
"city": "NORTH TAZEWELL",
"state": "VA",
"postal_code": "246300736",
"telephone_number": "276-287-0608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2131 COLLEGE AVE",
"city": "BLUEFIELD",
"state": "VA",
"postal_code": "246052002",
"telephone_number": "276-352-4896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLANAHAN",
"first_name": "JUDY",
"middle_name": "ANN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-27",
"last_updated": "2024-05-27",
"certification_date": "2024-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305204434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bluefield, VA
- Max R Mabry, CCC/FA
- Mary Malamisura
- Marsha Mead, PHD, LPC, Inc
- Luke Walker Martin
- Kimberly Ann Matzel, PAC
- Medexpress Urgent Care, PC - Virginia (MedExpress Urgent Care - Bluefield)
- Medexpress Urgent Care, PC - Virginia
- Medexpress Urgent Care, PC - Virginia (MedExpress Urgent Care - Bluefield)
- Meshel Cardiology PC
- Jack Charles Meshel, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.