Gregory Lamont McClellan, PT

Primary specialty

Human Factors Physical TherapistTaxonomy code 2251H1300X

License

800740192 Issued in NC

Practice address

515 Ransom Rd
Winston Salem, NC 27106-3617

Phone

(336) 479-5221

NPI assigned

Mar 23, 2012

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1332460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332460800000",
    "number": "1366718314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 RANSOM RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063617",
            "telephone_number": "336-479-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 RANSOM RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063617",
            "telephone_number": "336-479-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLELLAN",
        "first_name": "GREGORY",
        "middle_name": "LAMONT",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-23",
        "last_updated": "2012-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251H1300X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Human Factors",
            "state": "NC",
            "license": "800740192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Allan McClain, M.D., PH.D.
• Paul David McClain, M.D.
• Kendra S McClary
• Vilia McClearen, RBT
• Carol Denise McClellan
• Sara McClintock, AGACNP
• Alexandra McClory, PA-C
• Kevan Douglas McClung, PA-C
• Rachel Leanne McClung, M.D.
• Jennifer Dawn McClure, LPC

• Human Factors Physical Therapist in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Human Factors Physical Therapist in North Carolina

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