Individual provider Active NPI

Billy J. McClenahan, DPT

  • Physical Therapist
  • Bozeman, MT
National Provider Identifier
1508203548
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTP-PT-LIC-9412 Issued in MT
Practice address
58 Silver Leaf LN
Bozeman, MT 59718-9625
Phone
(406) 599-9518
Fax
(406) 545-3394
NPI assigned
May 31, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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 PTP-PT-LIC-9412 MT Primary

Addresses

Primary practice location

58 Silver Leaf LN
Bozeman, MT 59718-9625

Mailing address

58 Silver Leaf LN
Bozeman, MT 59718-9625
Phone (406) 599-9518

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160503000937 MT Practitioner - Physical Therapist in Private Practice 0648413559 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prime Therapies IncGroup PAC ID 0042519696, 2 clinicians

Practice addresses (Care Compare)

58 Silver Leaf LN
Bozeman, MT 59718-9625
Phone (406) 599-9518

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Rehabilitation Services, LLC Physical Therapist CurrentSince Mar 18, 2019 Accepting new patients
Prime Therapies Inc. Physical Therapist CurrentSince Feb 10, 2016 Accepting new patients
406 Massage and Spa, LLC Past Accepting new patients

Locations

103 E Main St
Unit C
Plainville, CT 06062
Phone (860) 517-8885

58 W Stafford Rd
Stafford Springs, CT 06076
Phone (860) 684-6528

58 Silver Leaf Ln
Bozeman, MT 59718
Phone (406) 599-9518

15 Macee Ln
Bozeman, MT 59718
Phone (406) 599-4212

253 Village Center Ln
Bozeman, MT 59718
Phone (406) 599-9518

Organizations & group practices 3

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": "1369958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1508203548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 SILVER LEAF LN",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597189625",
            "telephone_number": "406-599-9518",
            "fax_number": "406-545-3394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 SILVER LEAF LN",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597189625",
            "telephone_number": "406-599-9518",
            "fax_number": "406-545-3394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLENAHAN",
        "first_name": "BILLY",
        "middle_name": "J.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-31",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "PTP-PT-LIC-9412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.