Michele McLellan, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305204993 Issued in VA

Practice address

6845 Elm St
Suite 155
MC Lean, VA 22101-6007

Phone

(703) 556-4424

Fax

(703) 556-4435

NPI assigned

Jul 23, 2006

Last updated

Sep 2, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sports Therapy and Rehabilitation LLC

  • Physical Therapist
  • Washington, DC
  • NPI 1942955729
  NPD
• Sports Therapy and Rehabilitation,Inc

  • Physical Therapist
  • Washington, DC
  • NPI 1780611046
  NPD
• Opt: Orthopedic Physical Therapy and Wellness Center, Inc.

  • Physical Therapist
  • Nashua, NH
  • NPI 1861590465
  NPD (past)

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251849600000",
    "number": "1326060294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6845 ELM ST",
            "address_2": "SUITE 155",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221016007",
            "telephone_number": "703-556-4424",
            "fax_number": "703-556-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6845 ELM ST",
            "address_2": "SUITE 155",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221016007",
            "telephone_number": "703-556-4424",
            "fax_number": "703-556-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLELLAN",
        "first_name": "MICHELE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-23",
        "last_updated": "2009-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "0939",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305204993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McLean Psychiatric Services LLC
• McLean Rhinoplasty
• McLean Rhinoplasty, ENT & Sinus PLLC
• McLean Tysons Orthopedic Surgery Center, LLC
• Darius McLean, PA-C
• Doreen Ella McMahon, MD
• Katherine McMorrow
• Kelly Carroll McQueen, AUD, CCC-A
• Rahel Mebrahtu, MSN-FNP, BC
• Med Tel International Corporation (Wide Open MRI or Wide Open Imaging)

• Physical Therapist in McLean, VA
• Providers in McLean, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; 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.