Individual provider Active NPI

Jenny McClendon, PT

  • Physical Therapist
  • Raleigh, NC
National Provider Identifier
1376904995
Registry record updated Mar 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8355 Issued in NC
Practice address
513 Wild Rose CT
Raleigh, NC 27615-3165
Phone
(919) 345-6581
NPI assigned
Mar 9, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 8355 NC Primary

Addresses

Primary practice location

513 Wild Rose CT
Raleigh, NC 27615-3165

Mailing address

513 Wild Rose CT
Raleigh, NC 27615-3165
Phone (919) 345-6581

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Therapy NC, LLC Physical Therapist CurrentSince Jun 22, 2021 Accepting new patients
Life Clinic of NC PC Physical Therapist PastSince Nov 4, 2024 Accepting new patients

Locations

2221 Peachtree Rd NE
Ste D336
Atlanta, GA 30309

601 E Six Forks Rd
Raleigh, NC 27609
Phone (404) 351-5309

Organizations & group practices 2

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": "1457481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457481600000",
    "number": "1376904995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 WILD ROSE CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153165",
            "telephone_number": "919-345-6581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 WILD ROSE CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153165",
            "telephone_number": "919-345-6581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLENDON",
        "first_name": "JENNY",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-09",
        "last_updated": "2016-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "8355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; 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.